• Br J Neurosurg · Feb 2012

    Case Reports

    Bilateral trochlear nerve palsy subsequent to ventriculoperitoneal shunting of normal pressure hydrocephalus.

    • Anja M Giesemann, H-Holger Capelle, Rolf Winter, and Joachim K Krauss.
    • Department of Neurosurgery, Medical School Hannover, Hannover, Germany.
    • Br J Neurosurg. 2012 Feb 1; 26 (1): 110-2.

    AbstractMisplacement of the ventricular catheters of shunt systems may result in shunt dysfunction or a variety of neurological symptoms. Bilateral fourth nerve palsy has not been reported thus far after shunting. Here, we describe the occurrence of this unusual neurological deficit in a patient who underwent shunting for normal pressure hydrocephalus, and demonstrate its pathoanatomical correlate.

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