double vision after head injury

i met an accident 50 days back resulting in diplopia. my 4th cranial nerve turned week ( not parlysed as per two doctors)
my neurologist is giving me steroids.

i have an improvement around 40% in this period.  now i can see straight normally ( earlier i could notsee straight normally after accident) upward vision was always normal.

u think i shall go fine as it recoverd and is not paralysed??

is surgery an option to resume my normal downgaze.

plz help

[Dr Sharma]

Hi there. This looks like neurapraxia, which is a transient episode of motor paralysis with little or no sensory or autonomic dysfunction as per the Seddon’s classification scheme for classifying nerve damage. There is no disruption of the nerve or its sheath. 40 % recovery has already taken place and the prognosis is good upto complete recovery. Certain tests need to be done by an opthalmolgist to see the degree of strabismus and whether there will be improvement after surgery.
Take care.

[gishu]

Hi

problem is after i have started seeing straight normally, i cant feel any significant recovery after that except one thing i can notice is now my neck has gone straighter.

is it like i shall be feeling better after a good amount of recovery.

as my MRI shows following impression as on 17/10/2010

THERE IS THIN EXTRAAXIAL COLLECTION ALONG LEFT FRONTOPARIETO TEMPORO OCCIPITALCONVEXITY - BLEED

next MRI is shceduled on 27/11 this saturday.


can i have ur contact no and prefered time so that i can discuss over phone. it will be a kind help

thanks

[gishu]

my ophtha says i dont have neuropraxia, what it can be then

thanks