A lesion of the trochlear nerve prevents activation of the superior oblique muscle. What type of movement would this prevent?

A. Ipsilateral eye cannot look downward and inward
B. Ipsilateral eye cannot look upward and outward
C. Ipsilateral eye cannot look laterally
D. All of the above


ANS: A
Rationale: A lesion of the trochlear nerve prevents activation of the superior oblique muscle; consequently, the ipsilateral eye cannot look downward and inward. People with lesions of the trochlear nerve complain of double vision, difficulty reading, and visual problems when descending stairs.

Health & Biomechanics

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