Question 1

my daughter had 4strabismus operations for exo, eso and once superior oblique palsy. she is seeing double all the time and on prism glasses. what to do?

Accepted Answer

Difficult: This is a situation in which she needs expert care such as what would be available at a university ophthalmology department.  Good luck!

Question 2

what is some basic info on superior oblique myokymia?

Accepted Answer

Visual disturbance: Condition presents as repeated, brief episodes of movement, shimmering or shaking of the vision of one eye, a feeling of the eye trembling, or vertical/tilted vision.  Neurovascular compression of the trochlear nerve (cranial nerve 4), which controls the movement of the superior oblique muscles causes this condition.  Treatment with meds or surgery.

Question 3

action of superior oblique eye muscle is down and out, but h test diagram show so down and in. why the seeming discreptancy?

Accepted Answer

The SO has...: Maximum depression when the lr is contracted. However its pure function is internal rotation, therefore if cn 4 were out only the so would be out. This would eliminate internal rotation that could not be compensated by medial rectus and inferior rectus.

Question 4

can bell's palsy reoccur?

Accepted Answer

Yes: It is definitely possible for bell's palsy to recur.

Question 5

how rare is bulbar palsy?

Accepted Answer

Not a disease itself: Bulbar palsy is an assortment of signs and symptoms, not the name of a precise disease.  It refers to impairment of function of the cranial nerves ix, x, xi and xii.  Its causes are many but here are a few:
acute intermittent porphyria, motor neuron disease (als), guillain barre syndome, lyme's disease, botulinism, and myastheinia gravis.

Question 6

how common is bell's palsy?

Accepted Answer

Not very: Bells palsy is not as uncommon as is generally believed. Worldwide statistics set the frequency at just over .02% of the population (with geographical variations). In human terms this is 1 of every 5000 people over the course of a lifetime and 40, 000 americans every year. (courtesy of the bells palsy web site).

Question 7

how long could bells palsy last?

Accepted Answer

Bell's Palsy: Bell's palsy is a condition which affects the nerve that controls the muscles of the face, mouth and eyelids.  It usually only affects one side and often resolves in weeks.  Some people have more chronic problems with facial muscle weakness.

Question 8

how is third nerve palsy diagnosed?

Accepted Answer

History and exam: Typically the diagnosis of a third nerve palsy is made by a history of double vision and then a clinical exam that demonstrates and abnormality of the opening of the eyelid (ptosis), the pupillary size (bigger) and/or the eye movement.  Imaging may be useful for uncovering the cause, but the diagnosis is made clinically.

Question 9

what to do for a pull oblique muscle?

Accepted Answer

Rest, NSAIDs: Try warm compresses, nsaids (advil) and rest.

Question 10

what are my chances of recovering from c5 palsy?

Accepted Answer

That depends : It is really hard to say without more information. What and how severe was the initial cause, and how long it has been since the cause? That being said, many cases recover within weeks, but it can take months. After 6 months further recovery is unusual but not impossible.

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Doctor answers about:

Superior oblique palsy

A member asked:

My daughter had 4strabismus operations for exo, eso and once superior oblique palsy. she is seeing double all the time and on prism glasses. what to do?

A member asked:

What is some basic info on superior oblique myokymia?

A member asked:

Action of superior oblique eye muscle is down and out, but h test diagram show so down and in. why the seeming discreptancy?

A member asked:

Can bell's palsy reoccur?

A member asked:

How rare is bulbar palsy?

A member asked:

How common is bell's palsy?

A member asked:

How long could bells palsy last?

A member asked:

How is third nerve palsy diagnosed?

A member asked:

What to do for a pull oblique muscle?

A member asked:

What are my chances of recovering from c5 palsy?

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