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  • Title: Delayed trochlear nerve palsy in a case of zoster oticus.
    Author: Keane JR.
    Journal: Arch Ophthalmol; 1975 May; 93(5):382-3. PubMed ID: 1147811.
    Abstract:
    A 57-year-old man with herpes zoster oticus developed a delayed fourth nerve palsy followed by transient intermittent sixth nerve weakness. Trochlear nerve lesions occur rarely with zoster, particularly in the absence of zoster ophthalmicus. A knowledge of the wide range of motor manifestations and the chronicity of meningitis with zoster will afford earlier diagnosis without resort to arteriography.
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