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What Causes Blurred Vision, Headache And Droopy Eyelids In A Hypertensive Person?
Question: ok i havw several questions i have high bp but under control, five weeks ago i had an episode of very high bp and blurred vision i now have double vision and droopy left eyelid, headache have hd several MRI'S blood test urin test every thing came bac normal i think i have some sinus problems and gum problems could these be causing my problems.
Brief Answer:
Not due to gum or sinus problems
Detailed Answer:
Hello,
Judging from your description you suffer from an oculomotor nerve palsy, damage to the ocular nerve which is responsible for most eye and eyelid movements.
The causes can be many, most common ones are issues such as tumor, ischemic or hemorrhagic strokes, aneurysms, infections, inflammation etc. Fortunately most of these conditions (the ones mentioned being the most threatening ones) can be safely excluded through the MRIs that you have had. Your doctors seem to have been thorough on that regard and should feel reassured that nothing threatening has turned out. There remain some causes which can't be detected by MRI such as minor infarctions involving the closure of tiny blood vessels supplying the nerve fibers or endocrine causes like thyroid function. This last one though might have been excluded through blood tests you've had. So the most likely cause in my opinion would be the tiny blood vessels I mentioned above. Unfortunately there is no specific test or medication for that, improvement is hoped, but it will come gradually with time as the nerve fibers regenerate.
As for the sinus and gum issues you mentioned the answer is no, they are not the cause. Neither sinus nor gum issues affect the path of the oculomotor nerve, there is anatomically no relation to cause nerve damage.
I remain at your disposal for other questions.
Hope I have answered your query.
Let me know if I can assist you further.
Not due to gum or sinus problems
Detailed Answer:
Hello,
Judging from your description you suffer from an oculomotor nerve palsy, damage to the ocular nerve which is responsible for most eye and eyelid movements.
The causes can be many, most common ones are issues such as tumor, ischemic or hemorrhagic strokes, aneurysms, infections, inflammation etc. Fortunately most of these conditions (the ones mentioned being the most threatening ones) can be safely excluded through the MRIs that you have had. Your doctors seem to have been thorough on that regard and should feel reassured that nothing threatening has turned out. There remain some causes which can't be detected by MRI such as minor infarctions involving the closure of tiny blood vessels supplying the nerve fibers or endocrine causes like thyroid function. This last one though might have been excluded through blood tests you've had. So the most likely cause in my opinion would be the tiny blood vessels I mentioned above. Unfortunately there is no specific test or medication for that, improvement is hoped, but it will come gradually with time as the nerve fibers regenerate.
As for the sinus and gum issues you mentioned the answer is no, they are not the cause. Neither sinus nor gum issues affect the path of the oculomotor nerve, there is anatomically no relation to cause nerve damage.
I remain at your disposal for other questions.
Hope I have answered your query.
Let me know if I can assist you further.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
thank you so much for your answer the MRI;S showed no tumors cancer or aneurysms i do have a thyroid problem and take meds for it hyper thyroidism, we are think a XXXXXXX stroke, i went to an opthamolgist specialist and hhes tested me for myasthenia gravis , i still have double vision my dr says if its a tia my eye site will return to normal 3 months after this all began, im waiting for the results of blood test for the mg, thank you
Brief Answer:
Myasthenia unlikely
Detailed Answer:
Hi,
I did think of myasthenia gravis as one of the causes but I didn't suggest it as usually in myasthenia the deficit is fluctuating (more pronounced in the evening) and the other eye is usually involved as well (may be to a lesser degree, but rarely is there a complete paralysis on one side with no involvement on the other).
So unlikely the tests will show something, the most likely diagnosis remains that minor infarction unfortunately affecting the nerve. It is good that they are testing for MG though, confirms as I said that they are being pretty thorough and leaving nothing to chance,
Hope I have answered your query.
Let me know if I can assist you further.
Myasthenia unlikely
Detailed Answer:
Hi,
I did think of myasthenia gravis as one of the causes but I didn't suggest it as usually in myasthenia the deficit is fluctuating (more pronounced in the evening) and the other eye is usually involved as well (may be to a lesser degree, but rarely is there a complete paralysis on one side with no involvement on the other).
So unlikely the tests will show something, the most likely diagnosis remains that minor infarction unfortunately affecting the nerve. It is good that they are testing for MG though, confirms as I said that they are being pretty thorough and leaving nothing to chance,
Hope I have answered your query.
Let me know if I can assist you further.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
thank you for your answer and i thank you for letting me knoe it isnt due to gums or sinuses, i rested some easier knowing that probaby on mon i should here something on the test for MG my familly dr, did raise my bp medication as bp was running a little high, dont know why,when this first started on dec, 20, my bp went to 198/108 had an episode of panic attack and confusing , i think thats when the tia happened that may have damaged the nerve,thats my thoughts, im a retired nurse and my husband is a nurse and my 2 daaughters,thanks so much for your quick response.
Brief Answer:
Read below
Detailed Answer:
Hi,
It is tough to say whether the high blood pressure spike brought about the issue. It might be the other way around, when a blood vessel is occluded such as in stroke the organism tries to reperfuse that area with blood, it is a sort of defense mechanism. So it may be such a response to the occlusion, not the cause of it, hard to say.
Hope I have answered your query.
Let me know if I can assist you further.
Read below
Detailed Answer:
Hi,
It is tough to say whether the high blood pressure spike brought about the issue. It might be the other way around, when a blood vessel is occluded such as in stroke the organism tries to reperfuse that area with blood, it is a sort of defense mechanism. So it may be such a response to the occlusion, not the cause of it, hard to say.
Hope I have answered your query.
Let me know if I can assist you further.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
just wanted to tell the doctor my last test for MG came back normal we have beeb discussing my case for a few weeks, thanks again for your help, i have seen some improvement at times at nite ,i have been talking to dr,olsiTAKA
Brief Answer:
Thank you for the update!
Detailed Answer:
Hi,
Thank you for the update! As we discussed before MG was unlikely but there is always that atypical case so it's good to have that confirmed by tests as well.
Hope I have answered your query.
Let me know if I can assist you further.
Thank you for the update!
Detailed Answer:
Hi,
Thank you for the update! As we discussed before MG was unlikely but there is always that atypical case so it's good to have that confirmed by tests as well.
Hope I have answered your query.
Let me know if I can assist you further.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
just wanted to tell dr,OLSI TAKA, that sometimes in the eveening i take off the eye patch for the double vision and if i focus my eyes downward my vision is noraml , this last sometimes for maybe an hour at a time, ive been switching the patch from eye to eye to not weaken the effected eye
hopefully in a another month or so it will bb back to normal, thank you for your helpl,,,i go back to the XXXXXXX eye instute in little rock, for an appointment, with the opthamaligist,
hopefully in a another month or so it will bb back to normal, thank you for your helpl,,,i go back to the XXXXXXX eye instute in little rock, for an appointment, with the opthamaligist,
Brief Answer:
Seems good news. Hoping a complete recovery.
Detailed Answer:
Hi,
Thank you for keeping in touch. That seems to be good news. As I've told told improvement is expected over the next few months, hopefully there will be complete recovery.
Take Care!
Dr. Olsi Taka,
Neurologist
Seems good news. Hoping a complete recovery.
Detailed Answer:
Hi,
Thank you for keeping in touch. That seems to be good news. As I've told told improvement is expected over the next few months, hopefully there will be complete recovery.
Take Care!
Dr. Olsi Taka,
Neurologist
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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