What causes superior oblique palsy?
There are two primary causes for superior oblique palsy. The first and most common cause is congenital (born with the problem for no apparent reason). Rarely congenital anomalies are associated (i.e. a misshaped skull – craniosynostosis). The second most common cause is head trauma including relatively minor trauma. A concussion or whip lash injury from a motor vehicle accident may be sufficient to cause the problem. Rare causes of superior oblique palsy include stroke, tumor and aneurysm.