Journal international de pathologie ophtalmique

Diagnosis and Management of Fourth Cranial Nerve Palsy

Anuhya Sabbineni

Trochlear nerve palsy can be divided into acute or congenital. Congenital trochlear nerve palsy is generally noted in childhood with development of abnormal head posture. Various pathologies can lead to acute IV nerve palsy, most commonly trauma. Other causes include vascular, inflammatory, neoplastic and aneurysms.