Unilateral congenital mydriasis

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Migraine with unilateral mydriasis.

A 54-year-old, post-menopausal woman has had migraine headaches since the age of 40, occurring about once per month, responding well to sumatriptan. She experiences a stabbing pain in the left eye and left side of head, associated with nausea and vomiting. The pain has only affected her left side but a brain MRI was normal. She has an aura of blurred vision in the left eye alone, seeing images ...

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Bilateral congenital mydriasis.

A 73-year-old white woman with bilateral congenital mydriasis had no other obvious abnormalities. The pupils reacted almost imperceptibly to light. There was no detectable reaction to accommodation and convergence. Pupillary response to pilocarpine 4% solution indicated the presence of the sphincter muscle. However, the failure of the pupil to react to a potent cholinesterase inhibitor (demecar...

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Unilateral mydriasis during temporal lobe seizures.

Autonomic signs and symptoms are a common feature of epileptic seizures. Although sympathetic activation responses are predominant, we can also find sympathetic inhibition and even an activation of the parasympathetic division of the autonomic nervous system, especially in partial seizures. These autonomic symptoms during seizures are thought to be the result of neuronal discharges arising from...

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Migraine with benign episodic unilateral mydriasis

Pupil asymmetry or anisocoria can have benign or malignant causes, and be categorized as acute or chronic. It can also be a normal finding in about 20% of cases. Benign episodic unilateral mydriasis is an isolated benign cause of intermittent pupil asymmetry. The exact pathophysiology is not always understood. According to one hypothesis, it is due to discordance between the sympathetic and par...

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Unilateral Mydriasis After Mandibular Fracture Fixation Surgery

INTRODUCTION Unilateral mydriasis is a seriously significant finding in neurologic examinations indicating life-threatening conditions such as cerebral vascular injuries. CASE PRESENTATION A 24 year old woman with mandibular trauma was referred to our center after five days for a reduction of the right mandibular angle fracture. The patient had no history of any loss of consciousness after th...

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ژورنال

عنوان ژورنال: British Journal of Ophthalmology

سال: 1994

ISSN: 0007-1161

DOI: 10.1136/bjo.78.5.420