Adie's Syndrome (Tonic Pupils)

Guillain-Barré syndrome with bilateral tonic pupils.

A 53-year-old patient with Guillain-Barré syndrome preceded by herpes simplex virus infection developed bilateral tonic pupils with light-near dissociation. Pharmacological tests for pupils suggested postganglionic involvement of the parasympathetic and sympathetic nerves. A demyelinating process of peripheral autonomic nerves was suspected to be the cause of the tonic pupils and autonomic dysf...

Probable Vogt-Koyanagi-Harada's syndrome associated with tonic pupils.

BACKGROUND Pupillary abnormalities with complete or incomplete form of VKH have rarely been reported. We report a case of "probable" Vogt- Koyanagi-Haradas (VKH) disease associated with tonic pupils. CASE A young healthy male presented with 15 days' history of bilateral decrease in vision. The patient had bilateral panuveitis with exudative retinal detachment associated with tonic pupils. The...

Bilateral tonic pupils associated with neurosyphilis.

BACKGROUND To describe 4 patients with bilateral tonic pupils in neurosyphilis. CASES Four young men had pupillary abnormalities, which involved irregular shapes, large sizes, tonic reactions, and vermiform movements of both pupils with light-near dissociation. Cholinergic supersensitivity defined bilateral tonic pupils. OBSERVATIONS Neurosyphilis was diagnosed in these patients on the basi...

Tonic Pupils with Absent Tendon Reflexes in Mother and Daughter.

Case I. Married woman, age 61 years. The left pupil was first noticed to be small and fixed following an attack of acute and severe tonsillitis at the age of 29 years. Neither the grandparents, the parents, the husband nor seven siblings have shown inequality of the pupils. At the age of 36 years, the patient was examined by Dr. R. J. Coulter, of Newport, Monmoutlishire, who kindly informs me t...

The Tonic Pupil Syndrome.