I recently noticed a 4th nerve palsy myself in my left eye on right gaze. I happen to be a physician and saw an opthalmologist yesterday. He referred me to a neuro-opthalmologist. My eyes are totally staright in frontal gaze, only double vision when I look up and to the right????? I am sure I will have the full work-up too. Sometimes these can be unmasked congenital things. Did you ever get any answers? How old are you?

I recently was diagnosed with 4th nerve palsy as well showing the same symptoms as you, all the tests & blood work & doctors as well, It is very hard to read watch tv, ride my bike & especially drive, actually as of yesterday I have stopped driving it's too stressful.
The doctors said to wait 6 months & if it is not better surgery is iminant, Do you have any alternative ideas to share the thought of surgery doesn't thrill me .
I am 57 years old & in perfect health.

Did any of you get any kind of resolution? My husband has just had a brain attack, 4th nerve, lots of fatigue, hard to see.

I have recently found out i have fourth nerve palsy last year and it was definatly a scare. I noticed I had it when I got hit in the head with a baseball because I saw two baseballs. It occurs when I look to my right, and it turns out I was born with this. It has gotten worse over the years

I have just been diagonsed with 4th nerve palsy. This after almost 2 months of troubling vision problems. I spent 5 days in the hospital, had an MRI, all the bloodwork, a CT scan, and a consult from an opthamologist (who obviously overlooked the problem). All reports came back good, no diagnosis was made, and I was sent on my way. I was still having extreme difficulty seeing and having headaches, and I went to an optometrist, who tried, unsuccessfully to help me see better. Now three weeks later, I have seen a different Opthamologist who has given me this diagnosis of "4th Nerve Palsy". He has arranged an appointment with a Neuro-Opthamologist at the U of M hospital. Any feed back regarding what to expect would be helpful. This has been a scary experience.

I have hydrocephalus, paranaud's syndrome and a fourth left nerve palsy. It is very frustrating because although I can no longer wear contacts, (I wear glasses with prism), however my vision problems are intermittent. I went to Wills Eye Hospital in Philly and I was told I was too complicated. Any suggestions of where to go next?

I just got diagnosed with 4th nerve palsy on my left eye. I see double when looking straight or down since 2 weeks ago. Did blood work, MRI...everything came out normal. For now I am wearing prism lenses on my left eye that the neurologist prescribed and if the problem doesn't fix itself in 4-6 months then I will probably need surgery. For those of you who have 4th nerve palsy, ask the doctor about prism lenses as a temporary fix....after that its pretty much a waiting game. Make sure you get your MRI (of the brain), and necessary blood work to check for syphillis, lime disease, and tuberculosis...all these can cause damage to the nerves. If the problem doesnt fix itself in 6 months then surgery should be discussed. Make sure you get always get a second opinion before doing any sort of surgery. Hang in there...as will I!

I have prism lenses. For the past two days I have been going wearing no glasses because I see better than when I have them on. Well the double vision is gone for now anyway. I just made an appointment with a neuro opthamologist and I have a MRI tomorrow. I will probably get the same results as always, that being they are clueless.

For about a week now I have been having double vision and headaches. The opthomologist thought a possible 4th nerve palsy and sent me the next day to have an MRI on my brain. I was fortunate enough to be able to get the MRI results immediately and sent to a neurologist. There are some lesions on my brain but they are not really sure why and they want me to go to a MS specialist who of course is booked and cant get me in until late Sept.! All of my blood work came back fine, checking for things like Lyme disease and vasculitis. I cannot work, I cannot drive and I am terrified. Both doctors assure me they believe this will resolve itself on its own but I was hoping that meant weeks not months! Also, the opthomologist did play around with the prism over my eye but said it would not be worth it because my vision was different with every direction my eyes look or position of my head. I guess my question is has anyone else had spots or lesions seen on the brain MRI?

I have been diagnosed with fourth nerve palsy and pseudotumor cerebri since I was 7 years old. I am now 12 almost 13 years old. My opthamologist said it was very rare to find this diagnosis in children. I have perfect vision except the fact that when I tilt my head to the right and look to the bottom left I see double-vision. I also get headaches pretty much every week. The double-vision hasn't been a problem for me at my young age but my eye doctor brought up a good point, that when I get older and am able to drive my double-vision could get in the way. I have been taking diamox or however you spell it since I was 7. My opthamologist has had numorous attemps to take me off the medicine, but somehow I always ended up back on it. I've had several cat scans, MRI's, and two lumbar punctars. The double-vision hasn't gotten any better throughout the years. I'm thinking of getting surgery to correct it but I don't know when the best time would be to do it. Any ideas or suggestions? Please write me with your comments

I woke up one morning 6 years ago with double vision after having some deep dental work. I immediately thought it had been the injection but my dentist insisted it was not. I went thru the cat scan, neuro opthomologist visits, waiting for a year for my brain to learn to compensate, using prism glasses, ad nauseum. I finally found a pediatric opthomologist who told me that anyone with 4 prisms had suffered enough and went ahead and did the surgery. He unfortunately overcorrected me so my double vision went from the left side to the right side, even to the point of being worse. I went ahead and re did the surgery and now do quite well without prism glasses even though I still have about 2 3 prisms of double vision. The final diagnosis was that since I had a heart murmer, I should have been premedicated at the dentists office and in fact that is where the small stroke had been precipitated. I believe the dentist knew that but got scared. Consequently, make sure you are aware of your medical history even at the dentist's office since things like that can happen. The Dr who did my surgery was Dr Epley in Kirkland Wa. Great Guy.