cranial nerve IV

cranial nerve IV

Trochlear nerve
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A section of cranial nerve IV showed mononuclear lymphocytic infiltrate and mild myelin loss, while sections of the sciatic nerve showed inflammation-associated myelin loss.
The physical examination at admission was notable for dilated, asymmetric (5 mm on the right and 4 mm on the left), sluggishly reactive pupils; cranial nerve IV palsy; bilateral proptosis (right more than left); bilateral peripheral facial weakness; and proximal left upper extremity weakness.