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Anisocoria

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141. Vascular and Solid Organ Trauma - Interventional Radiology

associated with blunt carotid or vertebral injury are as follows: Expanding cervical hematoma Hemorrhage from mouth, nose, ears, or wounds Massive facial fractures Cervical bruit in patients younger than 50 years Evidence of stroke on CT Unexplained or incongruous central or lateralizing neurologic deficit, anisocoria, Horner syndrome, transient ischemic attack, or amaurosis fugax Basilar skull fracture through or near the carotid canal Fracture through the foramen transversarium Severe flexion

2014 eMedicine Radiology

142. Epidural Hematoma (Treatment)

of injured cells. Phenytoin reduces the incidence of early posttraumatic seizures, although it does not affect late-onset seizures or the development of a persistent seizure disorder. In a small case series, ED skull trephination before transfer of patients with CT-proven epidural hematoma (EDH) and anisocoria resulted in uniformly good outcomes without complications. [ ] Time to relief of intracranial pressure was significantly shorter with trephination than without. Several treatment guidelines

2014 eMedicine Emergency Medicine

143. Epidural Hemorrhage (Treatment)

epidural formation has been reported. If a rapid size increase is noted and/or the patient develops anisocoria or a neurological deficit, then surgery is indicated. Middle meningeal artery embolization has been described in the early stages of EDH, especially when angiographic dye extravasation has been observed (see Future and Controversies). When treating patients with spontaneous EDH, the underlying primary disease process must be addressed in addition to the fundamental principles discussed above

2014 eMedicine Surgery

144. Distal Clavicle Osteolysis (Overview)

theories concerning the etiology of DCO have been suggested: The first theory proposed an autonomic neurovascular origin; one author noted the presence of ipsilateral anisocoria in four of eight patients A theory set forth in another report proposed synovial invasion of the subchondral bone Cahill, noting the presence of microfractures in subchondral bone in 50% of his cases, proposed that repetitive microtrauma caused subchondral stress fractures and remodeling [ ] ; this theory is currently the most

2014 eMedicine Surgery

145. Pediatrics, Headache (Diagnosis)

neurologic deficits, such as aphasia, anisocoria, and memory deficits, may also be seen. Benign paroxysmal torticollis of infancy is characterized by episodes of a head tilt, and benign paroxysmal vertigo of childhood is characterized by recurrent episodes of vertigo and ataxia. The torticollis typically occurs during the first year, whereas the vertigo occurs in young children (usually aged 2-3 years). Cyclic vomiting and recurrent abdominal pain frequently are considered migraine variants. Before

2014 eMedicine Emergency Medicine

146. Pediatrics, Headache (Overview)

neurologic deficits, such as aphasia, anisocoria, and memory deficits, may also be seen. Benign paroxysmal torticollis of infancy is characterized by episodes of a head tilt, and benign paroxysmal vertigo of childhood is characterized by recurrent episodes of vertigo and ataxia. The torticollis typically occurs during the first year, whereas the vertigo occurs in young children (usually aged 2-3 years). Cyclic vomiting and recurrent abdominal pain frequently are considered migraine variants. Before

2014 eMedicine Emergency Medicine

147. Horner Syndrome (Treatment)

and life-threatening disorder. Careful direction of the history to rule out such life-threatening disorders is vital. Given that malignancy is a prominent feature of recently diagnosed preganglionic Horner syndrome, patients may avoid an unnecessary extensive workup for carcinoma if the lesion can be shown to be old or long-standing. To prove that a lesion is long-standing, inspect old photographs of the patient that might show ptosis or anisocoria. If the affected iris is blue and the other is brown (...) of the sympathetic interruption, because of the absence of endogenous norepinephrine in the synapse. For optimal accuracy, test results should be evaluated 30 minutes or longer after cocaine is administered. The maximal response is seen 40-60 minutes after instillation of the drops. Postcocaine anisocoria greater than 0.8 mm is sufficient to diagnose Horner syndrome. The disadvantages of the topical cocaine test are as follows: The drops are difficult to obtain because they must be made at a compounding pharmacy

2014 eMedicine.com

148. Intracranial hydatid cyst is a rare cause of midbrain herniation: A case report and literature review (PubMed)

Intracranial hydatid cyst is a rare cause of midbrain herniation: A case report and literature review Hydatid disease is a parasitic infection affecting the brain in about 2% of the cases. Brain involvement is most commonly observed in children. Here, we report a 13-year-old male patient who presented with headache, nausea, and vomiting. Before cranial computed tomography (CT) was performed, the patient had generalized epileptic seizures. He was disoriented, and had anisocoria with dilatation

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2013 Journal of pediatric neurosciences

149. Results of a community vision-screening program using the Spot photoscreener. (PubMed)

Association for Pediatric Ophthalmology and Strabismus guidelines. Data were stratified by age group and analyzed for percentage of children referred for hyperopia, myopia, astigmatism, anisometropia, anisocoria, and ocular misalignment. Vision screening records were compared with comprehensive eye examination records from an optometrist or ophthalmologist to determine positive predictive value.Vision screening examinations were performed on 8,317 subjects from September 2011 through May 2012. The mean (...) age of the 7,814 subjects (3953 males) meeting inclusion criteria was 44.4 months. The Spot referred 2,393 (30.6%). Of the screened population, the suspected reason for referral was astigmatism in 1,863 (23.8%), ocular misalignment in 879 (11.3%), anisometropia in 90 (1.2%), myopia in 82 (1.1%), hyperopia in 63 (0.8%), and anisocoria in 16 (0.2%). Comprehensive examination reports, including a cycloplegic refraction, were available for 300 referred children (12.5%). The reason for referral

2013 JAAPOS - Journal of the American Association for Pediatric Ophthalmology and Strabismus

150. Entrance Pupil Size Predicts Retinal Illumination in Darkly Pigmented Eyes But Not Lightly Pigmented Eyes. (PubMed)

Entrance Pupil Size Predicts Retinal Illumination in Darkly Pigmented Eyes But Not Lightly Pigmented Eyes. We determined the effect of entrance pupil size on retinal illumination. The influence of unilateral miosis on the magnitude of the pupil light reflex was studied to ascertain how a clinically significant anisocoria influences the relative afferent pupil defect (RAPD).Miosis was induced by topical 1% pilocarpine in the right eye of 14 healthy subjects with normal eyes. The interocular (...) difference in retinal illumination was assessed by computerized pupillometry from the stimulus response curve of the right and left eyes. The main outcome measure was the RAPD, determined by computerized pupillography, at baseline and after pilocarpine-induced anisocoria.Induced anisocoria produced a significant change in RAPD from baseline (mean = 1.60 dB in the miotic eye, P = 0.007). However, anisocoria correlated with RAPD only in subjects with darkly pigmented irides (Pearson correlation coefficient

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2013 Investigative Ophthalmology & Visual Science

151. Concomitant horner and harlequin syndromes after inferior alveolar nerve block anesthesia. (PubMed)

never been discussed.In this exceptional case, the unusual Horner syndrome manifestations related to unilateral ptosis, miosis, and anisocoria were simultaneously developed with skin ischemia, paresthesia, and asymmetric flushing after the administration of IANB anesthesia.Copyright © 2013 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

2013 Journal of Endodontics

152. Interest of Dynamic Measures of the Pupil in Optic Neuritis

Criteria Inclusion Criteria: patients with unilateral optic neuritis or with multiple sclerosis and an optic neuritis in the previous 5 years Exclusion Criteria: previous history of ophthalmic and neurologic pathology anisocoria minor Patient with a measure of legal protection Pregnancy patient opposition to participation in the study no affiliation to social security Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may

2013 Clinical Trials

153. Optic neuritis as isolated manifestation of leptomeningeal carcinomatosis: a case report and systematic review of ocular manifestations of neoplastic meningitis. (PubMed)

involvement in neoplastic meningitis. Ocular symptoms were the presenting clinical feature in 34 patients (83%) out of 41 included in our review, the unique manifestation of meningeal carcinomatosis in 3 patients (7%). Visual loss was the presenting clinical manifestation in 17 patients (50%) and was the most common ocular symptom (70%). Other ocular signs were diplopia, ptosis, papilledema, anisocoria, exophthalmos, orbital pain, scotomas, hemianopsia, and nystagmus. Associated clinical symptoms were

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2013 Neurology research international

154. Adult Horner's syndrome: a combined clinical, pharmacological, and imaging algorithm (PubMed)

Adult Horner's syndrome: a combined clinical, pharmacological, and imaging algorithm The diagnosis of Horner's syndrome (HS) can be difficult, as patients rarely present with the classic triad of ptosis, miosis, and anhydrosis. Frequently, there are no associated symptoms to help determine or localise the underlying pathology. The onset of anisocoria may also be uncertain, with many cases referred after incidental discovery on routine optometric assessment. Although the textbooks discuss

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2013 Eye

155. Curiositas (PubMed)

Curiositas 24505162 2015 07 27 2014 02 07 2046-4207 82 3 2013 Sep The Ulster medical journal Ulster Med J Curiositas: long answers. 210-1 eng Case Reports Journal Article Northern Ireland Ulster Med J 0417367 0041-6193 Infection with Mycobacterium marinum IM Aged Anisocoria etiology Blepharoptosis etiology Carotid Artery, Internal, Dissection complications diagnosis Cluster Headache complications diagnosis Diagnosis, Differential Female Hand Dermatoses microbiology Headache etiology Horner

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2013 The Ulster medical journal

156. Central serous chorioretinopathy after blunt trauma (PubMed)

Central serous chorioretinopathy after blunt trauma The authors report a case of a 46-year-old Hispanic male with central serous chorioretinopathy (CSC) following blunt trauma to the left eye. The patient presented with a complaint of throbbing headache and blurry vision in left eye. The patient was diagnosed with diabetes mellitus 1 year previous to the event. On examination, uncorrected visual acuity was 20/20 OD, 20/200 OS. No anisocoria or afferent pupillary defect was present. Intraocular

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2012 BMJ case reports

157. But It's Not All There. (PubMed)

But It's Not All There. A 44-year-old man presented with acute onset headache and isolated anisocoria. Dilation lag was noted in the smaller pupil and Horner syndrome was suspected despite the lack of eyelid ptosis. Cocaine testing confirmed the clinical diagnosis, and urgent neuroimaging found an internal carotid artery dissection. The patient was managed with systemic anticoagulation with a good final outcome. Horner syndrome should be suspected in any patient with aniscoria and dilation lag

2012 Survey of Ophthalmology

158. Prehospital COOLing 1 (PreCOOL 1)

Informed consent by the patient Age ≥ 18 years Exclusion Criteria: Severe cardiac insufficiency (NYHA ≥ III) New anisocoria, severe nausea, vomiting or headache High-grade heart valve stenosis or insufficiency Acute pulmonary embolism Acute myocardial infarction Threatening ventricular dysrhythmia Known hematologic disease with increased risk of thrombosis (e.g. cryoglobulinemia, cold agglutinins, sickle cell anemia) Known vasospastic vascular disorder (e.g. Raynaud's phenomenon or thromboangiitis

2012 Clinical Trials

159. Brainstem ischemic stroke without permanent sequelae during the course of spontaneous internal carotid artery dissection – case report (PubMed)

palpebral fissure, dysarthria, anisocoria (narrower pupil on the right side), unilateral hypoesthesia on the left side, weak palatal and pharyngeal reflexes on both sides, paresthesia within the left half of the body. Seven days before, the patient felt a sudden, severe neck pain radiating to the temporal apophysis. CT angiography revealed a defect in contrast filling within the left internal carotid artery and right vertebral artery. MRI of the head with MR angiography showed internal carotid artery

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2012 Polish Journal of Radiology

160. Decompressive craniectomy in 14 children with severe head injury: clinical results with long-term follow-up and review of the literature. (PubMed)

Coma Scale score was 6.5 (range, 4-15). Ten patients were presented with anisocoria. In 13 patients, craniectomy initially decreased ICP to <25 mm Hg. Two patients (14%) had a poor prognosis on admission and died. The most frequent complications were hygroma (8 patients) and infections (3 patients). The mean Glasgow Outcome Scale score at the 2-year follow-up visit was 4.4 (range, 4-5). Behavioral and psychiatric abnormalities and poor academic performance were frequent (82%).DC reduces ICP

2011 Journal of Trauma

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