Lyme disease is a multisystemic disorder caused by Borrelia burgdorferi spirochete, transmitted by ticks. Mainly described in the northern hemisphere and rarely in Brazil. The purpose of this report is to describe a patient with Lyme disease who developed bilateral tonic pupil as the only remaining sign. A 13-year-old female with Lyme disease, presented with bilateral peripheral facial and ocul...

To cite: Hefton S, Bogush N, Crawford RS, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2015210274 DESCRIPTION Awoman in her 70s was found lying prone, with an ST-elevation myocardial infarction and in cardiogenic shock. She was obtunded, answering ‘No’ to all questions, and was observed to have anisocoria with a pinpoint right pupil, 5 mm left pupil, dec...

Please cite this article as: Asorey-García A, Santos-Bueso E, Sáenz-Francés F, García-Feijoo J. Neuropatía óptica en gestante con síndrome antifosfolípido. Neurología. 2015;30:518—519. pregnancy loss. The first manifestation of APS can sometimes be neurological, presenting as optic neuropathy, for example. We present the case of a 27-year-old woman (29 weeks pregnant), who visited the emergency...

A 37-year-old woman presented with an extremely rare large oculomotor schwannoma associated with acute hydrocephalus manifesting as semicoma and anisocoria. Brain computed tomography and magnetic resonance imaging revealed a tumor in the oculomotor cistern. Cerebral angiography revealed separation of the posterior cerebral artery (PCA) and superior cerebellar artery (SCA). The tumor was removed...

The relative afferent asymmetry between two eyes can be diagnosed using swinging flashlight test, also known as the alternating light test. This remains one of most used clinical tests to this day. Despite test’s straightforward approach, a number factors add variability into methodology and reduce measurement’s validity reliability. includes small poorly responsive pupils, dark iris, anisocori...

Objetivo: Determinar la validez del diámetro de vaina nervio óptico por ultrasonografía para el diagnóstico hipertensión intracraneana en pacientes con traumatismo craneoencefálico severo. Material y métodos: Se Realizó un estudio prueba diagnosticas que evaluó a 43 sospecha secundario severo, cumplieron los criterios diagnósticos según “Regla Decisión Clínica” basado hallazgos clínicos tomográ...

Case presentation: Full term newborn, Apgar 9/9, with no family history of neurological diseases, developed breathing and feeding difficulties, reason why was admitted at the hospital on her 7th life day. On examination, presented craniofacial dysmorphic features, anisocoria reactive to light, absence blink reflex, divergent strabismus discreet skew deviation, hypertonia limbs clonic movements,...

Intracranial arachnoid cysts constitute 1% of space-occupying lesions in humans.1 The incidence of the condition in dogs is unknown. Only 6 reports describing radiographic findings of 13 affected dogs and 1 cat have been published, but detailed information about the clinical presentation of these patients is lacking.2–7 The present report describes the clinical history, diagnostic findings, and...

BACKGROUND There are several well established scores for the assessment of the prognosis of major trauma patients that all have in common that they can be calculated at the earliest during intensive care unit stay. We intended to develop a sequential trauma score (STS) that allows prognosis at several early stages based on the information that is available at a particular time. STUDY DESIGN I...