raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:91498

Familial congenital palsy of trochlear nerve

Type
Disease
Group
Disorder
Age of onset
Neonatal
Status
active

A rare, genetic, neuro-ophthalmological disease characterized by congenital fourth cranial nerve palsy, manifesting with hypertropia in side gaze, unexplained head tilt, acquired vertical diplopia, and progressive increase in vertical fusional vergence amplitudes with prolonged occlusion. Facial asymmetry (i.e. hemifacial retrusion, upward slanting of mouth on the side of the head tilt, mild enophthalmos of paretic eye) and superior oblique tendon abnormalities (such as absence, redundance, misdirection) are frequently associated. Some asymptomatic cases have been reported.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enFamilial congenital palsy of trochlear nerve
frParalysie congénitale familiale du nerf trochléaire
deTrochlearislähmung, kongenitale, familiäre Form
esParálisis congénita del nervio troclear, forma familiar
itParalisi congenita del nervo trocleare, forma familiare
nlFamiliale congenitale paralyse van nervus trochlearis
ptParalisia do nervo troclear congénita familiar
plRodzinne wrodzone porażenie nerwu bloczkowego
csFamiliární vrozená obrna trochleárního nervu
ukСімейний вроджений параліч блокового нерва
zh家族性先天性滑车神经麻痹
trTroklear sinirin ailesel doğumsal felci

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM136480Evalidated
ICD-10H49.1NTBTattributedvalidated
ICD-119C81.1NTBTattributedvalidated
MONDO0007626Evalidated
MeSHC565007Evalidated
UMLSC1850996Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (1):

No children.

4

Genes

0 direct

Orphanet records no gene directly on this code.

5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families6 casesWorldwideCase(s)Validated3985833[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_3985833[PMID]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

Orphanet has no HPO annotation for this code in this release.

7

Sources for this card