Doctor insights on:
Superior Oblique Palsy
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?
...is a corruption of French "paralise" from Latinized Greek "paralysis." In the old days it meant any kind of persistent weakness. To this day Parkinson's disease is also called "paralysis agitans" which is a Latin translation of Dr. Parkinson's original name for it, the "shaking palsy." We've obviously reborrowed the full form "paralysis" into English as well; today ...Read more
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. ...Read more
Action of superior oblique eye muscle is down and out, but h test diagram show so down and in. Why the seeming discreptancy?
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. ...Read more
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). ...Read moreSee 1 more doctor answer
Couple of ways: Treatments for bell's palsy include ensuring protection for your eyes [make sure that they are kept moist and protected]. Sometimes physicians will prescribe steroids [to reduce possible swelling] or antivirals [if it is suspected that the bell's palsy was triggered by a virus]. If you suspect that you have bell's palsy, see your doctor to determine the right course of treatment. ...Read moreSee 2 more doctor answers
Variable: The course of bell's palsy varies from person to person. It is thought to be due to a viral infection that causes swelling in the facial nerve and leads to weakness or paralysis of the facial muscles. This can occur over the course of hours or days. Fortunately, most people recover normal facial function but this can be permanent. ...Read moreSee 1 more doctor 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. ...Read more