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The supratrochlear nerve passes medially [3] above the trochlea of the superior oblique muscle. [2] [3] It then travels anteriorly above the levator palpebrae superioris muscle. [1] It exits the orbit through the supratrochlear notch or foramen. [3] It then ascends onto the forehead beneath the corrugator supercilii muscle and frontalis muscle ...
Trochleitis is inflammation of the superior oblique tendon trochlea apparatus characterized by localized swelling, tenderness, and severe pain. This condition is an uncommon but treatable cause of periorbital pain. The trochlea is a ring-like apparatus of cartilage through which passes the tendon of the superior oblique muscle.
The Cavernous Sinus. Each trochlear nerve originates from a trochlear nucleus in the medial midbrain.From their respective nuclei, the two trochlear nerves then travel dorsal-ward through the substance of the midbrain surrounded by the periaqueductal gray, crossing over (decussating) within the midbrain before emerging from the dorsal midbrain [3] [4] just inferior to the inferior colliculus. [4]
Experts share tips to figure out if your pain is related to nerves or muscles. They also share nerve pain treatments and when to see a doctor. Your 'muscle aches' might actually be nerve pain.
The destruction of nerve bodies in the dorsal root ganglia in sensory ganglionopathies thus leads to symptoms of ataxia, decreased sensation, pain, dysesthesia, paresthesias and allodynia that characteristically occurs in a multifocal, asymmetric distribution and in a non-length dependent manner.
In then travels superolateral to the annulus of Zinn between the lacrimal nerve and inferior ophthalmic vein. After entering the orbit it travels anteriorly between the roof periosteum and the levator palpebrae superioris. Midway between the apex and base of the orbit it divides into two branches, the supratrochlear nerve and supraorbital nerve.
Auriculotemporal nerve from the mandibular division of the trigeminal nerve; The innervation of scalp can be remembered using the mnemonic 'Z-GLASS' for Zygomaticotemporal nerve, Greater occipital nerve, Lesser occipital nerve, Auriculotemporal nerve, Supratrochlear nerve, and Supraorbital nerve.
The ophthalmic nerve gives rise to three branches: the supraorbital nerve, the supratrochlear nerve, and the nasociliary nerve. Any combination of these nerves can be affected in HZO, although the most feared complications occur with nasociliary nerve involvement, due to its innervation of the eye.
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