Fourth nerve palsy

Fourth cranial nerve palsy, is a condition affecting cranial nerve 4 (IV),[1] the trochlear nerve, which is one of the cranial nerves. It causes weakness or paralysis of the superior oblique muscle that it innervates. This condition often causes vertical or near vertical double vision as the weakened muscle prevents the eyes from moving in the same direction together.

Fourth Cranial Nerve Palsy
Other namesTrochlear nerve palsy
Trochlear nerve
SpecialtyOphthalmology 

Because the trochlear nerve is the thinnest and has the longest intracranial course of the cranial nerves, it is particularly vulnerable to traumatic injury.

To compensate for the double-vision resulting from the weakness of the superior oblique, patients characteristically tilt their head down and to the side opposite the affected muscle.

When present at birth, it is known as congenital fourth nerve palsy.

See also
  • Harada-Ito procedure

References
  1. "Fourth Nerve Palsy". www.aao.org. Retrieved 25 June 2019.








Classification
External resources
This article is issued from Wikipedia. The text is licensed under Creative Commons - Attribution - Sharealike. Additional terms may apply for the media files.