Document Detail

Cavernoma of the trochlear nerve.
MedLine Citation:
PMID:  17669588     Owner:  NLM     Status:  MEDLINE    
Here we present the case of a 53-year old man with progressive double vision due to isolated left trochlear nerve palsy. Cranial magnetic resonance imaging (MRI) showed a small tumor within the left quadrigeminal cistern that did not increase in size after several months. Explorative neurosurgical intervention revealed a left trochlear nerve cavernoma. The lesion was microsurgically excised followed by end-to-end anastomosis of the trochlear nerve. After a one-year follow up, double vision totally disappeared and cranial MRI showed no recurrence. Cerebral cavernous malformations usually become symptomatic in seizures or focal neurological deficits after intracerebral hemorrhage. Rarely, cavernomas arise from cranial nerves. To the authors' knowledge, this is the first report on a symptomatic cavernous malformation arising from the trochlear nerve and on its successful surgical management.
Oguzkan Sürücü; Ulrich Sure; Michel Mittelbronn; Richard Meyermann; Ralf Becker
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-07-31
Journal Detail:
Title:  Clinical neurology and neurosurgery     Volume:  109     ISSN:  0303-8467     ISO Abbreviation:  Clin Neurol Neurosurg     Publication Date:  2007 Nov 
Date Detail:
Created Date:  2007-09-20     Completed Date:  2007-12-18     Revised Date:  2009-10-14    
Medline Journal Info:
Nlm Unique ID:  7502039     Medline TA:  Clin Neurol Neurosurg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  791-3     Citation Subset:  IM    
Department of Neurosurgery, University of Marburg, Germany.
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MeSH Terms
Cranial Nerve Neoplasms / pathology*,  surgery*
Hemangioma, Cavernous / pathology*,  surgery*
Middle Aged
Trochlear Nerve Diseases / pathology*,  surgery*

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