Mystery case: superior oblique myokymia due to vascular compression of the trochlear nerve.

@article{Kang2013MysteryCS,
  title={Mystery case: superior oblique myokymia due to vascular compression of the trochlear nerve.},
  author={Seokhoon Kang and Jisoo Kim and Jeong-Min Hwang and Byung Se Choi and Jae-hyoung Kim},
  journal={Neurology},
  year={2013},
  volume={80 13},
  pages={e134-5}
}
A 37-year-old man with episodic oscillopsia for 3 months showed intermittent torsional-vertical oscillation of the left eye (video on the Neurology® Web site at www.neurology.org). MRI revealed an attachment between left trochlear nerve and left superior cerebellar artery in the quadrigeminal cistern (figure). Gabapentin 600 mg twice a day ameliorated the ocular oscillation and oscillopsia. Superior oblique myokymia (SOM) causes monocular oscillopsia or torsional diplopia due to involuntary… CONTINUE READING
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