A paralysis of the IV. Cranial nerves relates to the superior oblique muscle and causes a paralysis of the vertical Blickbeweungen, especially in adduction.

A paralysis of the IV. Cranial nerve (fourth nerve palsy) is often idiopathic. So far, few causes have been identified. Among the causes geschlosse head injuries (common), which can be single- or double-sided cause paralysis, and heart attacks include (z. B. in diabetes mellitus) due to diseases of small vessels. Often these paralysis due to aneurysms, tumors (z. B. tentorielle meningiomas, Pinealome) or multiple sclerosis.

A paralysis of the IV. Cranial nerves relates to the superior oblique muscle and causes a paralysis of the vertical Blickbeweungen, especially in adduction. A paralysis of the IV. Cranial nerve (fourth nerve palsy) is often idiopathic. So far, few causes have been identified. Among the causes geschlosse head injuries (common), which can be single- or double-sided cause paralysis, and heart attacks include (z. B. in diabetes mellitus) due to diseases of small vessels. Often these paralysis due to aneurysms, tumors (z. B. tentorielle meningiomas, Pinealome) or multiple sclerosis. Because of the paralysis of the superior oblique eyes can not be adducted normal. Patients see double images that are shifted upwards and sideways against each other, so they are having trouble descending stairs that requires looking down and inward. Due to the inclination of the head to the opposite side of the paralyzed muscle can be compensated for and eliminate the double images. The investigation may reveal a slightly restricted eye movement, which makes no complaints. A oculomotor exercise treatment or a prism glasses can restore the matching look. Surgery may be required eventually.

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