Anatomical Note the Superficial Origin of the Trochlear Nerve with Special
J. Anat. (1990), 170, pp. 199-201 199 With 4 figures Printed in Great Britain Anatomical Note The superficial origin of the trochlear nerve with special reference to its vascular relations K. K. BISARIA*, I. C. PREMSAGARt, P. K. LAKHTAKIAt, R. C. SAXENA* AND S. D. BISARIA§ * Department of Anatomy, t Department of Neurosurgery, $ Department of Orthopaedic Surgery, K. G. Medical College, Lucknow, U.P. and § Department Of Ophthalmology, Vivekananda Polyclinic, Lucknow, U.P. India (Accepted 14 November 1989) INTRODUCTION A full description of the roots of the trochlear nerve is not commonly found in the literature. Gardner, Gray & O'Rahilly (1960), Hamilton (1976), Romanes (1964), Snell (1981), Hollinshead & Rosse (1985) and Williams, Warwick, Dyson & Bannister (1989) do not mention the possibility of two roots of origin of this nerve. Crosby, Humphrey & Lauer (1962) and Truex & Carpenter (1969) have mentioned that the nerve may emerge as a single root while Paturet (1964) and Nathan & Goldhammer (1973) have mentioned the possibility that more than one root may be present. The relations of the trochlear nerve to the adjoining blood vessels have not been described. MATERIALS AND METHODS For the present work 162 trochlear nerves of 90 formalin-fixed brains were studied (in 18 brains only one of the two nerves could be studied as the other was torn during the removal of the brain from the cranial cavity). The origin of the nerve and its relationships with neighbouring blood vessels was noted. RESULTS In all the 90 brains, the trochlear nerves arose in the usual situation. In 111 nerves out of 162, the nerve had a single root; in 51, double rootlets were present, the rootlets being up to 4 mm apart (Fig.
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