Delayed trochlear nerve palsy in a case of zoster oticus
J. R. Keane
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.