Trochlear Nerve Palsy | CN IV | Why Head Tilt ? | Action of Superior Oblique| Med Madness

[@tobiasquaicoe9990]

The best explanation on the internet

[@MedMadness]

thank you so much ! this means a lot to me !

[@marjeenakhan9235]

Such a conceptual video. The axes alignment concept... You didn't only teach us, rather also memorized it to us!!

[@dot9826]

I am so glad that I found your video. I think you saved me at least two hours that I would have wasted trying to understand the head tilt. THANK YOU THANK YOU!

[@MedMadness]

You are welcome!

[@marjeenakhan9235]

Loved the dedication to your work as you have prepared a model to teach us tye actions! ♥️

[@MedMadness]

Most welcome 🙏

[@nasirmehmood2511]

The most elaborate and to the point explanation... Good Job 👍🏻

[@MedMadness]

Thank you

[@JulieMrsP]

I found this very informative as I have CN4 damage from a pterional craniotomy, it gives me hope that my double vision will get better. Eventually.

[@MedMadness]

Thank you for sharing your experience, Julie. I'm glad the video provided some insight and hope. Recovery after a pterional craniotomy can indeed take time, but the brain and nerves often have remarkable healing potential. Wishing you a smooth recovery and improvement in your double vision! Feel free to reach out if you have any further questions or need more information

[@mahmoudelezramli1537]

thank you sir, been struggling with this for a while till i found your video, now i completely understand.

[@MedMadness]

Thanks . Welcome

[@ryansmith538]

Having a presentation on this ..has really helped..thanks

[@MedMadness]

you are most welcome

[@MiraMira-y7u]

Clearly explained

[@MedMadness]

You are most welcome ❤️

[@joevarga5982]

This is wonderful. I like your home-made eye model and the skull cartoon drawings, lol. 🤣😂🤣 Very well done. Thanks for creating and sharing this!

[@MedMadness]

Thanks for your comment. I appreciate it 😊

[@nunchukgrl2]

Wonderful explanation of the head tilt for trochlear nerve palsy! Thanks! :)

[@MedMadness]

You 're welcome

[@هاجرالتجاني-د2ت]

Very useful and helping content 🙏👏

[@MedMadness]

thank you and welcome .

[@bahawalqayyum9136]

What's the Best treatment? I'm suffering from left superior oblique palsy

[@MedMadness]

sorry for the late reply. The best treatment for superior oblique palsy depends on the severity of the condition. Here are some common approaches: Observation: Mild cases might improve on their own over time without any treatment. Prism Glasses: These can help reduce double vision by adjusting the way light enters the eyes. Eye Exercises: Specific exercises might help strengthen the affected muscles. Botox Injections: These can temporarily improve muscle function. Surgery: In more severe cases, surgery might be necessary to correct the alignment of the eye muscles. It's important to consult with an ophthalmologist or an eye specialist to determine the best treatment plan for your specific condition.

[@bahawalqayyum9136]

@@MedMadness it's congenital, I'm 32 year old. Head tilt from the early age, double vision showed up 4, 5 years ago and on certain angles only. Now the problem is posture, asymmetrical face growth and difficulty in studying

[@MedMadness]

Thank you for sharing more details. Since your superior oblique palsy is congenital and you are experiencing significant symptoms such as head tilt, double vision, postural issues, and asymmetrical facial growth, it is essential to seek specialized care. Here are some options that might be beneficial: 1. Comprehensive Ophthalmologic Evaluation: Consult with an ophthalmologist who specializes in strabismus (eye misalignment) to assess your condition thoroughly. 2. Orthoptic Therapy: Engage in specialized exercises aimed at improving eye muscle coordination and strength. 3. Customized Prism Glasses: These can help manage double vision by altering the light entering your eyes. 4. Botox Injections: These may provide temporary relief by relaxing the affected muscles. 5. Surgical Intervention: In cases where non-surgical options are insufficient, surgery may be considered to correct the alignment of the eye muscles. Each case is unique, so it’s important to discuss these options with your eye specialist to determine the best treatment plan tailored to your specific needs. Wishing you the best in your treatment journey.

[@bahawalqayyum9136]

@@MedMadness thank you for your time.

[@MedMadness]

@@bahawalqayyum9136 You are most welcome

[@EWanGalushko]

best explanation

[@MedMadness]

thanks a lot

[@thaniabremer7255]

Thank you 🥹 Can’t believe I slept over this concept out of frustration & understand it now. 🤍

[@MedMadness]

I'm glad the concept finally clicked for you! It's great to see your persistence paying off. Don't hesitate to reach out if you need further clarification on any other topics. Keep up the great work! 😊

[@Jahirbrn]

Thank you 100 time I read but now I get to understand

[@MedMadness]

You are most welcome ❣️

[@dr.derbyallen7063]

Best explanation. 👍👍👍

[@MedMadness]

Thank you , glad it helped you

[@RAHAFOMAR3083]

In examination of 4th CN Why we ask the patient for adduct his eye ball , where the superior oblique cause abduction of the eye ball ?

[@MedMadness]

Hi sorry for late reply. We ask the patient to adduct their eye during the examination of the 4th cranial nerve (CN IV) because the superior oblique muscle, which CN IV controls, primarily functions to depress the eye when it is adducted. This position helps isolate the function of the superior oblique, allowing us to better assess if there is any dysfunction in the 4th cranial nerve. Thank you .

[@sudhakarkothavade6914]

Thanks for the information. I am facing same issue. Please suggest treatment for this

[@MedMadness]

I'm sorry to hear that you're experiencing this issue. However, it's important to consult a healthcare professional for a proper diagnosis and treatment plan tailored to your specific condition. They can provide you with the most accurate and personalized advice. Thank you

[@puneetvarshney1555]

What is your current condition? Are you feeling ok now , I’m facing vertical diplopia since last 2 months and Drs telling me same that it will be corrected with time, no issue found in brain and orbit MRI . please reply

[@ank4116]

Thanks For the explanation brother! Very well explained.... Grateful👍🙏

[@MedMadness]

You are most welcome brother ❤️

[@nozimaa8450]

very good video!

[@MedMadness]

Thank you

[@amaraarshad2592]

Sir ..thank uh so much ..

[@MedMadness]

You are Welcome . All the best

[@psychology_Waqar]

thank you so ...!!

[@MedMadness]

most welcome

[@elizabethfowler3798]

how did you do it can you share with me , thank you

[@MedMadness]

this is just the whiteboard with my drawings.

[@lifeandliving555]

thank you!!

[@MedMadness]

You 're welcome

[@ahmedalghazali88]

Thank u

[@MedMadness]

Welcome

[@crivacgeorge]

ADDUCTION

[@MedMadness]

did u notice any mistake in the video ? you can mention it clearly please. thanks for watching and supporting our channel !

[@theassassinhit13]

Squint is hard. It requires a lot of effort to study Meanwhile An Indian KZbinr:-

[@MedMadness]

Squint (strabismus) can indeed be a challenging topic to study. I'm glad to be able to help make it a bit easier to understand through my videos. Thanks for watching and supporting the channel!