Simon, S.Sandhu, A.Selva-Nayagam, D.Crompton, J.2010-05-182010-05-182009New Zealand Medical Journal, 2009; 122(1300):72-751175-87161175-8716http://hdl.handle.net/2440/58279Bilateral trochlear nerve palsies without other signs of dorsal midbrain syndrome following spontaneous midbrain haemorrhage is extremely rare. We report the case of a 37-year-old man with bilateral trochlear nerve palsies causing superior oblique palsies (SOP) from dorsal midbrain haemorrhage which recovered with conservative management. The report highlights the need for imaging in patients with spontaneous bilateral superior oblique (BSO) motility deficits.en© NZMAUpper ExtremityHumansHearing Loss, SensorineuralTinnitusCerebral HemorrhageOcular Motility DisordersTrochlear Nerve DiseasesParesthesiaDiplopiaAlcoholismMagnetic Resonance ImagingAdultMaleJournal article00200929182-s2.0-7004909039337344Selva-Nayagam, D. [0000-0002-2169-5417]