Trochlear CN IV Flashcards

1
Q

Where are the trochlear cell bodies located?

A

Trochlear Motor Nucleus

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2
Q

The trochlear motor nucleus is located at the level of the _____ near the _____ gray

A

Inferior colliculus; periaqueductal gray

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3
Q

The axons of Trochlear nerve course dorsolaterally, cross the _____ and emerge from the _____ surface. They then course through the _____ sinus and enter the orbit via _____.

A

Superior velum; DORSAL; cavernous; superior orbital fissure

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4
Q

What muscle is innervated?

A

Superior oblique muscle of contralateral orbit

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5
Q

What is the action of superior oblique muscle?

A

Incyclotorsion (Downward and Laterally)

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6
Q

Is it likely to lesion this nerve alone?

A

No, very rare (usually by trauma)

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7
Q

What is the clinical result if the trochlear nerve is lesioned?

A

Vertical diplopia, which can cause difficulty in looking down especially noticed when going downstairs.

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8
Q

Where is the Trochlear nucleus located?

A

Tegmentum of caudal midbrain

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9
Q

What is the name of the nucleus?

A

Trochlear motor

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