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  • Title: Trochlear nerve palsy as a false localizing sign.
    Author: Halpern JI, Gordon WH.
    Journal: Ann Ophthalmol; 1981 Jan; 13(1):53-6. PubMed ID: 7247159.
    Abstract:
    A 12-year-old boy developed a fourth nerve palsy during the course of pseudotumor cerebri syndrome. False or nonlocalizing signs that occur during the course of intracranial disease are briefly reviewed. The rarity of a fourth nerve palsy as a false localizing sign is pointed out. However, the question is raised whether a number of subtle fourth nerve palsies go unnoticed and that the true incidence of false localizing fourth nerve palsies is higher.
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