case_images: PMC11831983_01
case_images: Extraocular motility demonstrated in 9 gaze.
case_images: rjaf059f1.jpg
case_images: PMC11831983_01_rjaf059f1.jpg
case_images: f1
case_images: Extraocular motility testing revealed mild (-1) restriction in elevation in adduction of the left eye with pain on right gaze (Fig. 1).
case_images: T1 coronal image of orbits which shows normal symmetrical superior obliques.
case_images: rjaf059f2.jpg
case_images: PMC11831983_01_rjaf059f2.jpg
case_images: f2
case_images: Initial magnetic resonance imaging (MRI) of the brain and orbits with contrast was normal (Fig. 2).
case_images: T1 axial image of orbits which shows a normal trochlear-tendon complex.
case_images: rjaf059f3.jpg
case_images: PMC11831983_01_rjaf059f3.jpg
case_images: f3
case_images: A repeat MRI orbits yielded normal findings: there was no hypertrophy of the SO, no inflammation/hypertrophy of extraocular muscles, and no trochlear attachment (Fig. 3).