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A Few Facts About 4th Nerve Palsy. A little known or understood disorder, 4th Nerve Palsy is an eye disorder in which the usual symptom is that of double vision.In this particular case, double vision means the image seen through one eye appears to be slightly above the image seen by the other eye. The exact cause of this disorder is not always known.hen this nerve suffers from a disorder, such as palsy, the movement of the eye is affected. The eye's gaze will tend to drift upward and perhaps slightly inward. The upward drift of the eye's gaze is called hypertropia.
Sixth nerve palsy is a nerve disorder that occurs when the sixth cranial nerve is damaged. The disorder prevents some of the muscles that control eye movement from working properly. Affected people cannot turn the eye outwards toward the ear. Other signs and symptoms may include double vision, headaches, and pain around the eye. Sixth nerve palsy may be caused by many things, including stroke, brain aneurysm, diabetic neuropathy, trauma, infections, inflammation, tumors, migraine headaches or intracranial pressure. Eye patches, glasses, corticosteroids, and/or botulinum toxin may be used to ease symptoms.