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Neurology Sep 2012
Topics: Adie Syndrome; Adult; Female; Humans
PubMed: 22965679
DOI: 10.1212/WNL.0b013e3182698cc5 -
Der Anaesthesist Sep 2012Anisocoria during general anaesthesia is rare. The combination of anisocoria and absence of any reaction to light is highly suspicious of an intracerebral lesion. This...
Anisocoria during general anaesthesia is rare. The combination of anisocoria and absence of any reaction to light is highly suspicious of an intracerebral lesion. This article reports the case of a patient with known Adie's syndrome where anisocoria led to an unnecessary immediate interruption of anesthesia. A preoperative examination, including inspection of the pupils, frequent perioperative check ups and documentation of diagnostic findings, even if negative, has to be standard for every anesthesia.
Topics: Anesthesia; Anisocoria; Breast Neoplasms; Female; Humans; Middle Aged; Monitoring, Intraoperative; Mydriasis; Preoperative Care; Reflex, Pupillary; Tonic Pupil
PubMed: 22965183
DOI: 10.1007/s00101-012-2079-0 -
European Respiratory Review : An... Sep 2012
Topics: Adie Syndrome; Aged; Cough; Diabetic Neuropathies; Female; Gastroesophageal Reflux; Hereditary Sensory and Autonomic Neuropathies; Humans; Male; Mononeuropathies; Predictive Value of Tests; Prognosis; Reflex
PubMed: 22941891
DOI: 10.1183/09059180.00000212 -
The Journal of Neuropsychiatry and... 2012
Topics: Adie Syndrome; Aged, 80 and over; Female; Glucocorticoids; Humans; Hypohidrosis; Panic Disorder; Substance Withdrawal Syndrome
PubMed: 22772688
DOI: 10.1176/appi.neuropsych.11030076 -
Archivos de La Sociedad Espanola de... Jul 2012[corrected] To determine the relative importance of the different forms of anisocoria in a General Hospital.
OBJECTIVE
[corrected] To determine the relative importance of the different forms of anisocoria in a General Hospital.
METHODS
A prospective, longitudinal study was conducted including all patients referred for this reason to the Neuro-Ophthalmology Unit of the Henares University Hospital, Madrid (Spain), from November 2008 to October 2011. The differences in pupil diameter were studied under high and low luminosity. The patients were given a full ophthalmological examination, as well as performing the apraclonidine, cocaine, pilocarpine 0.125% and pilocarpine 2% tests, if they were considered necessary.
RESULTS
Thirty-two cases of anisocoria were referred during the three years of the study. No relationship was found with age or gender. The diagnostic results were: Adie's pupil, 4 cases; Horner syndrome, 5 cases; benign episodic unilateral mydriasis, 3 cases; local causes, 4 cases; physiological anisocoria, 5 cases. Despite a full clinical history and examination, the cause of the anisocoria could not be determined in 11 cases. In 4 of these cases, the patient suffered from migraines and in another 4 psychotropic drugs were taken. Both risk factors were present in 3 cases. In one case the anisocoria was the initial clue that led to the diagnosis of a cervical paraganglioma.
CONCLUSIONS
Anisocoria is a clinical sign that does not usually signify a serious disease. With our protocols, a high number of anisocoria cases are still of unknown origin. Migraines and psychotropic drugs could be linked to these forms of anisocoria.
Topics: Adolescent; Adult; Aged; Anisocoria; Female; Humans; Longitudinal Studies; Male; Middle Aged; Prospective Studies; Secondary Care; Young Adult
PubMed: 22732119
DOI: 10.1016/j.oftal.2012.04.012 -
Journal of Child Neurology Apr 2013Harlequin syndrome, Harlequin sign, Holmes-Adie syndrome, and Ross syndrome lie on a spectrum of partial dysautonomias affecting facial sudomotor, vasomotor, and...
Harlequin syndrome, Harlequin sign, Holmes-Adie syndrome, and Ross syndrome lie on a spectrum of partial dysautonomias affecting facial sudomotor, vasomotor, and pupillary responses. These syndromes have imprecise clinical boundaries and overlap syndromes are known. We report a 9-year-old girl who presented with anhidrosis over the right half of her face and the left side of her body, with compensatory hyperhidrosis on the contralateral side. She was noted to have bilateral tonic pupils and normal muscle stretch reflexes with other features suggestive of autonomic dysfunction. Investigations to rule out secondary causes were noncontributory. Her clinical presentation can be categorized as partial overlap between Harlequin syndrome and Holmes-Adie syndrome.
Topics: Autonomic Nervous System Diseases; Brain; Child; Female; Flushing; Humans; Hypohidrosis; Magnetic Resonance Imaging
PubMed: 22638078
DOI: 10.1177/0883073812446484 -
Neurologia I Neurochirurgia Polska 2012
Comparative Study
Topics: Adie Syndrome; Adult; Cholinergic Agents; Female; Humans; Migraine Disorders; Onions; Ophthalmic Solutions; Phytotherapy; Pilocarpine
PubMed: 22581605
DOI: 10.5114/ninp.2012.28268 -
Oftalmologia (Bucharest, Romania : 1990) 2012The benign syndrome of pupillotonia and absence of deep reflexes is not uncommon. It was clearly and accurately described by Adie (1932), although incompletely...
The benign syndrome of pupillotonia and absence of deep reflexes is not uncommon. It was clearly and accurately described by Adie (1932), although incompletely recognized many years, before. The pupillary abnormality was reported by ophthalmologists at the turn of the century (Saenger, 1902, Strasburger 1902), and the associated deep reflex change was described by Markus (1906), Roemheld (1921) and Parkes Weber (1923). Holmes (1932) was fully aware of the association of "partial iridoplegia" with diminished reflexes. Tonic pupils react poorly to light but constrict during viewing of a near stimulus. Adie's name is typically used in association with tonic pupils, but a review of Adie's articles reveals that he described the syndrome of tonic pupils and absent reflexes and not the pupillary abnormality per se. Therefore, it would be more appropriate to refer to a tonic pupil as simply a 'tonic pupil" and leave Adie's name for the syndrome. We report a typical case of tonic pupil.
Topics: Adie Syndrome; Adult; Diagnosis, Differential; Humans; Male; Miotics; Pilocarpine; Predictive Value of Tests; Pupil; Sensitivity and Specificity; Terminology as Topic; Tonic Pupil
PubMed: 23713338
DOI: No ID Found -
Medicina Clinica May 2012
Topics: Adie Syndrome; Adolescent; Female; Humans; Mydriasis
PubMed: 22036461
DOI: 10.1016/j.medcli.2011.09.010 -
Journal of Neuro-ophthalmology : the... Dec 2011Tonic pupils react poorly to light but constrict during viewing of a near stimulus. Adie's name is typically used in association with tonic pupils, but a review of...
Tonic pupils react poorly to light but constrict during viewing of a near stimulus. Adie's name is typically used in association with tonic pupils, but a review of Adie's articles reveals that he described the syndrome of tonic pupils and absent reflexes and not the pupillary abnormality per se. Therefore, it would be more appropriate to refer to a tonic pupil as simply a "tonic pupil" and leave Adie's name for the syndrome.
Topics: Accommodation, Ocular; Australia; History, 20th Century; Humans; Light; London; Reflex, Pupillary; Tonic Pupil
PubMed: 21597384
DOI: 10.1097/WNO.0b013e318219fbdf