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Third nerve palsy in children and other causes of diplopia, ptosis, and anisocoria are discussed separately. The third cranial nerve supplies the levator muscle of the eyelid and four extraocular muscles: the medial rectus, superior rectus, inferior rectus, and inferior oblique.
From Wikipedia, the free encyclopedia. Fourth cranial nerve palsy is a condition that causes weakness or paralysis to the superior oblique muscle. This condition often causes vertical or near 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 intracranial course of the cranial nerves, it is particularly vulnerable to traumatic injury.his condition often causes vertical or near 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 intracranial course of the cranial nerves, it is particularly vulnerable to traumatic injury.