raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:98686

Congenital trochlear nerve palsy

Synonyms: Congenital CNIV palsy · Congenital fourth cranial nerve palsy · Congenital superior oblique palsy

Type
Disease
Group
Disorder
Inheritance
Not applicable
Age of onset
Neonatal
Status
active

A rare ophthalmic disorder with cranial nerve involvement characterized by dysfunction of the superior oblique muscle with typical eye motility patterns including elevation in adduction, V-pattern related to reduced abduction force in downgaze with unopposed adduction by the inferior rectus muscle, and excyclotorsion. Patients may present with contralateral head tilt to compensate for vertical binocular misalignment and diplopia.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enCongenital trochlear nerve palsyCongenital CNIV palsy · Congenital fourth cranial nerve palsy · Congenital superior oblique palsy
frParalysie congénitale du nerf trochléaireParalysie CNIV congénitale · Paralysie congénitale de l'oblique supérieure · Paralysie congénitale du quatrième nerf crânien
deTrochlearislähmung, kongenitaleHirnnerv IV-Lähmung, kongenitale · Kongenitale Lähmung des Musculus obliquus superior · Kongenitale Lähmung des Nervus trochlearis · Kongenitale Parese des vierten Hirnnerven
esParálisis congénita del nervio troclearParálisis CNIV congénita · Parálisis congénita del cuarto nervio craneal · Parálisis congénita del cuarto par craneal · Parálisis congénita del oblicuo superior
itParalisi congenita del nervo trocleareParalisi congenita del CNIV · Paralisi congenita del quarto nervo cranico
nlCongenitale paralyse van nervus trochlearisCongenitale verlamming van bovenste schuine oogspier · Congenitale verlamming van katrolzenuw · Congenitale verlamming van vierde hersenzenuw · Congenitale CNIV-verlamming · Congenitale paralyse van musculus obliquus superior
ptParalisia do nervo troclear congénitaParalisia CNIV congénita · Paralisia do oblíquo superior congénita · Paralisia do quarto nervo cranial congénita
plWrodzone porażenie nerwu bloczkowegoWrodzone porażenie CNIV · Wrodzone porażenie czwartego nerwu czaszkowego
csVrozená obrna trochleárního nervuVrozená CNIV obrna · Vrozená obrna čtvrtého hlavového nervu
ukВроджений параліч блоковидного нерваВроджений CNIV параліч · Вроджений параліч четвертого черепно-мозкового нерва · Вроджений верхній косий параліч
zh先天性滑车神经麻痹先天性第四颅神经麻痹
trDoğumsal troklear sinir felciDoğumsal CNIV felci · Doğumsal süperior oblik felç · Doğumsal dördüncü kraniyal sinir felci

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
ICD-10H49.1NTBTattributedvalidated
ICD-119C81.1NTBTindexvalidated
MONDO0020256Evalidated
UMLSC5680340Evalidated

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.

Codes that Orphanet moved or referred to this one:

4

Genes

0 direct

Orphanet records no gene directly on this code.

5

Prevalence and incidence

0 records

No prevalence record in this release.

6

HPO phenotypes

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

7

Sources for this card