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Zhurnal Nevropatologii I Psikhiatrii... 1959
Topics: Adie Syndrome; Humans
PubMed: 13636361
DOI: No ID Found -
Journal of Clinical Neurology (Seoul,... Mar 2010While tonic pupils have been attributed to various diseases, including syphilis, herpes zoster, orbital trauma, temporal arteritis, endometriosis, and paraneoplastic...
BACKGROUND
While tonic pupils have been attributed to various diseases, including syphilis, herpes zoster, orbital trauma, temporal arteritis, endometriosis, and paraneoplastic syndromes, obstructive hydrocephalus has not been implicated.
CASE REPORT
A 36-year-old woman visited a neurology department with a 7-day history of throbbing headache and blurred vision in both eyes. She had early dorsal midbrain syndrome mimicking an Adie's tonic pupil, and cholinergic supersensitivity was demonstrated using topical 0.125% pilocarpine. Brain MRI revealed obstructive hydrocephalus at the level of the aqueduct of Sylvius, and her symptoms resolved 4 days after surgery.
CONCLUSIONS
We report a patient with early dorsal midbrain syndrome that was initially believed to represent a tonic pupil on the basis of pharmacologic testing. The findings in our patient suggested that early dorsal midbrain syndrome mimicking an Adie's tonic pupil can be caused by obstructive hydrocephalus compressing the Edinger-Westphal nucleus.
PubMed: 20386642
DOI: 10.3988/jcn.2010.6.1.38 -
Journal of Neurology, Neurosurgery, and... Nov 1958
Topics: Accommodation, Ocular; Adie Syndrome; Eye; Head; Humans; Muscles
PubMed: 13611571
DOI: 10.1136/jnnp.21.4.290 -
Anais Brasileiros de Dermatologia 2016Ross syndrome is a rare disease characterized by peripheral nervous system dysautonomia with selective degeneration of cholinergic fibers. It is composed by the triad of...
Ross syndrome is a rare disease characterized by peripheral nervous system dysautonomia with selective degeneration of cholinergic fibers. It is composed by the triad of unilateral or bilateral segmental anhidrosis, deep hyporeflexia and Holmes-Adie's tonic pupil. The presence of compensatory sweating is frequent, usually the symptom that most afflicts patients. The aspects of the syndrome are put to discussion due to the case of a male patient, caucasian, 47 years old, with clinical onset of 25 years.
Topics: Cholinergic Fibers; Humans; Hyperhidrosis; Hypohidrosis; Male; Middle Aged; Nerve Degeneration; Peripheral Nervous System Diseases; Primary Dysautonomias; Syndrome
PubMed: 26982793
DOI: 10.1590/abd1806-4841.20163918 -
Journal of Clinical Neuroscience :... Sep 2000A clinical syndrome of tonic pupil associated with tendon areflexia was first described by Holmes and Adie; autonomic neuropathy and peripheral neuropathy can be...
A clinical syndrome of tonic pupil associated with tendon areflexia was first described by Holmes and Adie; autonomic neuropathy and peripheral neuropathy can be associated. The postulated mechanism of areflexia in Holmes-Adie syndrome is a synaptic disorder of the spinal reflex pathways. We report a case of a Holmes-Adie syndrome variant with hitherto unreported cranial neuropathy. A 41 year old woman developed insidious onset of sensory symptoms related to her left trigeminal and chorda tympani nerves over a few months. Physical examination showed generalised tendon areflexia and a left sided Adie's pupil. Imaging did not reveal any structural abnormality. Electrophysiological studies demonstrated an absent blink reflex on stimulating the left supraorbital and infraorbital nerves. These findings were suggestive of a dysfunction affecting the brain stem reflex arc. The pathophysiological process of Holmes-Adie syndrome may be more widespread than previously thought.
Topics: Adie Syndrome; Adult; Female; Humans; Trigeminal Nerve
PubMed: 10942670
DOI: 10.1054/jocn.1999.0233 -
Brain : a Journal of Neurology Sep 1968
Topics: Adie Syndrome; Axons; Cell Nucleus; Ganglia, Autonomic; Humans; Male; Middle Aged; Muscle Spindles; Muscles; Nerve Degeneration; Neurons; Oculomotor Nerve; Pupil; Staining and Labeling
PubMed: 4177586
DOI: 10.1093/brain/91.3.401 -
Brain and Nerve = Shinkei Kenkyu No... Jan 2016A 37 year-old Japanese male felt photophobia of both eyes one week following the onset of the common cold. His neurological examination revealed bilateral Adie's tonic... (Review)
Review
A 37 year-old Japanese male felt photophobia of both eyes one week following the onset of the common cold. His neurological examination revealed bilateral Adie's tonic pupils, no extraocular movement disorder, normal deep tendon reflexes, and no cerebellar signs. Based on markedly increased blood levels of anti-GQ1b IgG and anti-GT1a IgG antibodies, we diagnosed him as anti-GQ1b antibody syndrome. Bilateral Adie's tonic pupils were improved by IVIg drip infusion and methylprednisolone pulse therapy. This case suggests that we need to investigate anti ganglioside antibody when a patient presents with bilateral Adie's tonic pupils.
Topics: Adult; Antibodies; Eye; Humans; Infusions, Intravenous; Male; Syndrome; Tonic Pupil
PubMed: 26764303
DOI: 10.11477/mf.1416200354 -
Revue Neurologique Dec 1976The author has investigated patients suffering from disorders of the pupillary reflexes and of the tendon reflexes of the lower limbs which come under the heading of...
The author has investigated patients suffering from disorders of the pupillary reflexes and of the tendon reflexes of the lower limbs which come under the heading of tonic pupil. Forty-five patients were followed up over a period of 15 years. The tendon reflexes of the lower limbs were recorded graphically and showed a very characteristic retardation of the second phase of the patellar reflex. The aetiopathogenesis of Adie's syndrome is discussed. The pathogenesis of Adie's syndrome has so far not been definitely established. We have merely tried to point out a few of the features which permit its early diagnosis and have drawn attention to the basic problem of the pathogenesis of certain neuro-muscular disorders on the basis of secondary considerations involved in this uncommon syndrome.
Topics: Adie Syndrome; Humans; Leg; Reflex, Abnormal; Reflex, Pupillary; Reflex, Stretch
PubMed: 1013572
DOI: No ID Found -
Srpski Arhiv Za Celokupno Lekarstvo Mar 1954
Topics: Adie Syndrome; Humans
PubMed: 13168704
DOI: No ID Found -
Revista Brasileira de Oftalmologia Mar 1952
Topics: Adie Syndrome; Humans
PubMed: 14958105
DOI: No ID Found