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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.
It can cause drooping of part of the face, and is often caused by a virus that causes swelling, which puts pressure on the facial nerve. It usually only affects one side of the face. Microvascular cranial nerve palsy. This condition affects the nerves in the eye.ut it may also be caused by an injury to the head or an infection. A disorder affecting the brain, such as an aneurysm or brain tumor, may also cause third nerve palsy. Diabetes and migraines are other possible causes. Fourth nerve palsy. Also called superior oblique palsy, this affects the superior oblique muscle.