Journal Basic Info
- Impact Factor: 1.809**
- H-Index: 6
- ISSN: 2474-1655
- DOI: 10.25107/2474-1655
Major Scope
- Nuclear Medicine
- Surgery Cases
- Tuberculosis
- Anesthesiology and Pain Medicine
- Hematology
- Lung Cancer
- Hepatology
- Cardiology
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
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.