Congenital Fourth Nerve Palsy

Congenital fourth nerve palsy is a condition present at birth characterized by a vertical misalignment of the eyes due to a weakness or paralysis of the superior oblique muscle.

Other names for fourth nerve palsy include superior oblique palsy and trochlear nerve palsy. When looking to the right/left the nerve/muscle isn't strong enough or is too long and the eye drifts up.

Read more about Congenital Fourth Nerve Palsy:  Pathophysiology, Causes, Presentation, Treatment

Famous quotes containing the words congenital, fourth, nerve and/or palsy:

    A society in which adults are estranged from the world of children, and often from their own childhood, tends to hear children’s speech only as a foreign language, or as a lie.... Children have been treated ... as congenital fibbers, fakers and fantasisers.
    Beatrix Campbell (b. 1947)

    I asked my mother for fifty cents
    To see the elephant jump the fence.
    He jumped so high he reached the sky,
    And didn’t get back till the Fourth of July.
    —Unknown. I Asked My Mother (l. 1–4)

    our nerve filaments twitch with its presence
    day and night,
    nothing we say has not the husky phlegm of it in the saying,
    nothing we do has the quickness, the sureness,
    the deep intelligence living at peace would have.
    Denise Levertov (b. 1923)

    The palsy plagues my pulses
    —Unknown. Tom o’ Bedlam’s Song (l. 37)