Trochlear nerve palsy

Causes: The commonest cause is trauma; less common causes include vascular disease (diabetes mellitus, hypertension, and arteriosclerosis). Trochlear nerve palsy is a relatively common phenomenon.

Effects: The superior oblique is primarily an intorter and a depressor in adduction. This results in upward vertical deviation of the paralyzed eye in adduction and vertical strabismus (see Fig. 17.16). Patients experience vertical diplopia; the images are farthest apart in depression and intorsion. Compensatory head posture is discussed in the section on symptoms. Diplopia is absent in elevation.

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Supplements For Diabetics

Supplements For Diabetics

All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.

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