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Abstract

Citation: Ann Clin Case Rep. 2018;3(1):1531.DOI: 10.25107/2474-1655.1531

Isolated Trochlear Nerve Palsy in Post Traumatic Brain Injury: Incidental Detection Using Vestibular Screening Tests

Tay KWE and Chua SGK

Department of Rehabilitation Medicine, Tan Tock Seng Hospital Rehabilitation Centre, Singapore

*Correspondance to: Tay KWE 

 PDF  Full Text Case Report | Open Access

Abstract:

Isolated trochlear Nerve Injury (TNI) following Traumatic Brain Injury (TBI) is uncommon. There are diagnostic challenges in the early detection of isolated TNI and there is currently no agreed screening tool for its diagnosis. We report a 30 year-old gentleman with severe TBI, who was detected to have diplopia during routine screening vestibular tests. He was subsequently diagnosed to have isolated TNI following a positive Bielschowsky head tilt test. This was managed conservatively and his symptom of diplopia improved 5 months following head injury.

Keywords:

Traumatic brain injury; Trochlear nerve injury; Vestibular screening tests

Cite the Article:

Tay KWE, Chua SGK. Isolated Trochlear Nerve Palsy in Post Traumatic Brain Injury: Incidental Detection Using Vestibular Screening Tests. Ann Clin Case Rep. 2018; 3: 1531.

Journal Basic Info

  • Impact Factor: 5.253*
  • H-Index: 6
  • ISSN: 2474-1655
  • DOI: 10.25107/2474-1655
  • PubMed NLM ID: 101702800

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