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Conditions and Diseases > Stroke Forum > Double Vision possible mini stroke
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Q: Double Vision possible mini stroke
asked by: jaydee456 on July 7th, 2008
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Hello
My husband (age 66) suddenly started with double vision 4 days ago. we were sent to the eye casualty and they said it was nerve failure to the eye muscle that pulls to the side. Possibly caused by a mini stroke. He has no other symptoms thankfully. They fitted a prism lens over his glasses and it was very good but worsened over the weekend so we had to go back today. It had gotten quite a bit worse so he now has a stronger prism which is harder to see with but at least it is not double images until he looks much further away. He has to have a full check up with his own doctor later in the week.
Has anyone had this problem and if so did it resolve itself (they say it can)

Many thanks
Jay
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Dr. Nikola
replied on July 23rd, 2008
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Did you consult some neurologist?
Did you make MRI of the brain to prove that "mini stroke"?
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jaydee456
replied on July 23rd, 2008
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No have only seen eye doctor at the hospital who daignoses 6th nerve palsey. (Possibly caused by bolod clot) and GP who has had full blood tests done which showed high cholesterol and he is on the low dose asprin and now also 40mg Simvastatin.
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Dr. Nikola
replied on July 24th, 2008
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Your husband might have 6th nerve (nervus abducens) palsy but the problem is what caused that palsy. Every motor nerve palsy can be either peripheral or central. Peripheral palsy is due to damage of the nerve itself or its core in the brain trunk. Central palsy is due to damage of the certain area in the brain cortex or damage of the motor pathway that connects that cortical area with the core of the abducens nerve. Such damage can be due to cerebral vascular insult (hemorrhage or infarct) but it can be also due to some brain tumor.
MRI or CT-scan of the brain can give us more information about the cause of this nerve palsy.
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jaydee456
replied on July 24th, 2008
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Thank you for the reply. Will ask if they are sure of the cause and if a scan is required.
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Users who thank jaydee456 for this post: Dr. Nikola 
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Magetan
replied on August 25th, 2009
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Double vission
My mother age 66 had this problem actually in June this year, and also in 2003. It resolve itself after a couple of weeks but she is followed closely by a neurologist in Cyprus an ophthalmologist and a heart specialist. She has done an MRI and all related blood and heart tests as to trace the cause of this double vission double incident.

So the answer is that it can go away, but the issue is to trace the cause... I fully agree with Dr. Nikola's comment
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jaydee456
replied on August 25th, 2009
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Thanks for the reply Magetan.
My husband is now fine. Took a while to correct itself after initially getting worse and it was found that he had a cholesterol level of 9.5 which with statins is now down to 5.7 and he is taking low dose asprin. I think he was very lucky that was all that happened to him with his cholesterol that high. Best wishes to your Mum. Mine is 89 at Christmas.
Jaydee
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Magetan
replied on August 25th, 2009
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Double vision
Thank you Jaydee, glad that your husband is ok. I will keep you posted of the developments.
Take care
Magetan
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