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Trochlear Nerve Dr Hytham Nafady
Introduction  ,[object Object],Somatic motor innervates the superior oblique muscle of the contralateral orbit.  Somatic motor (general somatic efferent)
Anatomy ,[object Object],[object Object],[object Object]
Segments of the trochlear nerve ,[object Object],[object Object],[object Object],[object Object]
Trochlear nucleus ,[object Object],[object Object]
ย 
Trochlear nucleus .
*  = 4 th  cranial nerve nucleus
Superior medullary vellum
Central segment ,[object Object],[object Object],4
Cisternal segment ,[object Object]
ย 
PcoA Cn IV C n III
Cavernous segment ,[object Object],[object Object]
ย 
Cn 4 Cn 5 O Cn 6 Cn 3 Cn 5 mx
Orbital segment ,[object Object],[object Object]
Superior orbital fissure & annular ring of Zinn
Cn 3 i Cn 3 s Cn 6 Cn 4
Superior oblique muscle ,[object Object]
ย 
Trochlear nerve palsy ,[object Object],[object Object],[object Object],[object Object],[object Object]
ย 
Nucleus & central segment
Left superior oblique palsy & right internuclear ophthalmoplegia
Cisternal segment ,[object Object],[object Object]
Trochlear nerve schwannoma
Trochlear nerve schwannoma along cisternal & cavernous segments
Vascular loop compression of the trochlear nerve by anomalous left PCA
Bilateral trochlear nerve palsies following dorsal midbrain haemorrhage
Isolated trochlear nerve palsy with dorsal midbrain hemorrhage
Atrophy of the superior rectus muscle in trochlear nerve palsy
Superior oblique muscle atrophy
Trochlear nerve palsy ,[object Object]
Trochlear nerve palsy ,[object Object]
[object Object],[object Object],[object Object]

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