Fourth nerve palsy is a condition caused by weakness or paralysis of the superior oblique muscle. This condition often causes vertical double vision as the weakened muscle prevents the eyes from moving in the same direction together.
Because the fourth cranial nerve is the thinnest and has the longest 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.
Famous quotes containing the words fourth, nerve and/or palsy:
“We are playing with fire when we skip the years of three, four, and five to hurry children into being age six.... Every child has a right to his fifth year of life, his fourth year, his third year. He has a right to live each year with joy and self-fulfillment. No one should ever claim the power to make a child mortgage his today for the sake of tomorrow.”
—James L. Hymes, Jr. (20th century)
“Social questions are too sectional, too topical, too temporal to move a man to the mighty effort which is needed to produce great poetry. Prison reform may nerve Charles Reade to produce an effective and businesslike prose melodrama; but it could never produce Hamlet, Faust, or Peer Gynt.”
—George Bernard Shaw (1856–1950)
“All conservatives are such from personal defects. They have been effeminated by position or nature, born halt and blind, through luxury of their parents, and can only, like invalids, act on the defensive. But strong natures, backwoodsmen, New Hampshire giants, Napoleons, Burkes, Broughams, Websters, Kossuths, are inevitable patriots, until their life ebbs, and their defects and gout, palsy and money, warp them.”
—Ralph Waldo Emerson (1803–1882)