sis of Horner syndrome with the use of topical 5% or 10% cocaine has been the standard for years. Cocaine is a controlled substance that must be prepared by individual pharmacies for local use and has become more difficult to obtain in recent years. We have found the parents of children with anisocoria and possible Horner syndrome are often hesitant to allow the use of cocaine as a diagnostic t...

Pupillary diameters in the affected and unaffected eyes of 327 patients with uniocular red eye were assessed during fixation of a distant target. The mean pupillary diameters were similar in the unaffected eyes in each of eight diagnostic groups, but were significantly different (F = 3.84, p less than 0.001) in the diseased eyes. With corneal abrasions (p less than 0.001), marginal keratitis (p...

Case The standard treatment for acute subdural hematoma (ASDH) is large craniotomy; decompressive craniectomy may also be carried out, if needed, to prevent secondary brain damage. Recently, an endoscopic procedure for elderly patients with ASDH was carried out and reported; its safety and effectiveness were emphasized because of minimal invasiveness. We report a young case and discuss its diff...

A unilaterally fixed mydriasis, also known as a 'blown pupil,' is considered an ominous sign concerning for intracranial pathology. Causes of anisocoria can range from benign to immediately life-threatening. When a patient presents with anisocoria, the concern for a fatal diagnosis leads the clinician to obtain numerous tests, many of which may be unnecessary. The authors present a case of a he...

Abstract Objective In patients with traumatic acute subdural hematoma (ASH), it has not been yet fully elucidated which can benefit from surgery or clinical follow-up. This study was constructed to predict treatment modality and short-term prognosis in ASH using their clinical, radiological, biochemical laboratory findings during admission hospital. Methods Findings of determined on CT scan bet...