Anisocoria After Inhaled Ipratropium Bromide Treatment
نویسندگان
چکیده
Amaç: Anizokori, hayatı tehdit eden kafa içi hadiselerin ilk habercisi olabileceği gibi, sık kullanılan ilaçların yan etkisi olarak da karşımıza çıkabilir. Atropin, skopolamin, amfetamin gibi farmakolojik ajanların sistemik kullanımı genellikle bilateral midriazise yol açarken, nebulizatör ile ipratropium bromürün göze direkt teması tek taraflı midriazis izlenebilir. Bu yazıda, ajana bağlı anizokori gelişen bir vakayı sunuyoruz.
 
 Olgu: Serebral palsi nedeni takip edilen 12 yaşında erkek hasta, antireflü operasyonu sonrası akciğer enfeksiyonu çocuk cerrahisi servisinde izleme alındı. Nebül tedavileri ve antibiyoterapisi devam etmekte iken fizik muayenede yeni tespit edildi. Ayrıntılı öykü muayene anizoriyi açıklayacak intrakranial olay edilmedi. İpratropium bromür nebül tedavisinin anizokoriye neden olduğu düşünülerek, tedavisi kesildi. Tedavinin kesilmesinin ardından 24 saat içinde düzeldi.
 Sonuç: Anizokori etiyolojisinde, hadiseler akla gelse de unutulmamalıdır. karşılaşıldığında klinik beraber gereksiz görüntüleme ileri tetkiklerin yapılmasının önüne geçilebileceği vurgulanmak istenmiştir.
منابع مشابه
Anisocoria with high dose ipratropium bromide inhaler.
I bromide is an atropine derived anti-cholinergic bronchodilator used in obstructive lung diseases. Anisocoria mainly caused by the direct effect of nebulized ipratropium bromide via a leaking mask has been well described in the literature.1,2 However, anisocoria induced by systemic absorption after long-term use of high dose ipratropium inhaler is not well reported. We report a case of a 24-ye...
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Anisocoria, or unequal pupil size, may be an early sign of an impending neurologic emergency in any patient.1 Acute unilateral mydriasis is often suggestive of a lifethreatening condition affecting cranial nerve function, such as tumor compression, intracranial hypertension with impending uncal herniation, expanding intracranial aneurysm, or hemorrhage. Benign mydriasis can be due to prior trau...
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ژورنال
عنوان ژورنال: Anatolian journal of emergency medicine
سال: 2023
ISSN: ['2651-4311']
DOI: https://doi.org/10.54996/anatolianjem.1277775