Grimson B S, Glaser J S
Arch Ophthalmol. 1978 Jul;96(7):1233-5. doi: 10.1001/archopht.1978.03910060067013.
The clinical course of six patients with isolated trochlear nerve palsy as the only ocular motor manifestation of herpes zoster ophthalmicus has been analyzed. Spontaneous recovery occurred in only three. Review of the literature does not clarify the mechanism of such palsies, which potentially may result from the following conditions: local orbital muscle inflammation and ischemia; contiguous intracavernous spread of inflammation from the trigeminal nerve; and a concurrent but independent motor neuropathy or ganglionitis.
对6例仅以孤立性滑车神经麻痹作为眼部带状疱疹唯一眼肌运动表现的患者的临床病程进行了分析。仅3例实现了自发恢复。文献回顾并未阐明此类麻痹的机制，其可能由以下情况导致：局部眼眶肌肉炎症和缺血；炎症从三叉神经向海绵窦的连续蔓延；以及并发但独立的运动神经病或神经节炎。
