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Diplopia is typically experienced by adults with VI nerve palsies, but children with the condition may not experience diplopia due to suppression. The neuroplasticity present in childhood allows the child to 'switch off' the information coming from one eye (in this case the esotropic eye), thus relieving any diplopic symptoms.
Symptoms of a brainstem stroke frequently include sudden vertigo and ataxia, with or without weakness. Brainstem stroke can also cause diplopia, slurred speech and decreased level of consciousness. A more serious outcome is locked-in syndrome. [citation needed]
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In some cases, diplopia disappears without medical intervention, but in other cases, the cause of the double vision may still be present. Certain people with diplopia who cannot achieve fusion and yet do not suppress may display a certain type of spasm-like irregular movement of the eyes in the vicinity of the fixation point (see: Horror fusionis).
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Signs of a person with a gaze palsy may be frequent movement of the head instead of the eyes. [2] For example, a person with a horizontal saccadic ( saccade ) palsy may jerk their head around while watching a movie or high action event instead of keeping their head steady and moving their eyes, which usually goes unnoticed.