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Sluggishly reactive pupils

Webb17 maj 2024 · At 00:25 am, she became unresponsive with a roving gaze, sluggishly reactive pupils, decerebrate posturing, cyanotic with persistent hypotension requiring vasopressors. After stabilizing, a CT scan of the brain was obtained which showed diffuse arterial and venous cerebral air embolism (Figures 1(a)–1(d)). WebbPhysical examination revealed a dilated, sluggishly reactive right pupil, without other ophthalmic or neurologic abnormalities. Neuroimaging was normal. The patient was diagnosed with unilateral benign episodic mydriasis (BEM). Discussion: BEM is a rare cause of acute anisocoria with an underlying pathophysiology that is not well understood.

Benign Episodic Mydriasis as a Cause of Isolated Anisocoria

Webb1 aug. 2010 · A 35-year-old female patient presented with bilateral vision loss with a history of consumption of about 150 mL of neem oil 5 days previously. On examination, the patient had no perception of light, with dilated and sluggishly reactive pupils in both eyes; the fundus showed bilateral hyperemic and edematous disks. WebbBackground: Pupillary light reflex (PLR) has traditionally been assessed using a pen torch (light). Although the terms "brisk" or "sluggish" are often used, it is unclear what … thurber house columbus https://janradtke.com

Pinpoint Pupils: Treatments, Causes and Symptoms

Webb15 jan. 2024 · The clinical dictum that pupil sparing in oculomotor nerve palsy predicts an extraaxial ischemic lesion while pupil involvement predicts an extraaxial compressive … Webb1 maj 2001 · The left pupil was fixed and dilated and the right pupil mid‐dilated and reacting sluggishly to light. A computed tomography (CT)‐scan showed a large left subdural haematoma with significant midline shift (Fig. 1 ). Mannitol and vitamin K were administered and she was referred to a regional neurosurgical centre. Webb23 apr. 2002 · pupilas isorreactivas. English translation: equally reactive pupils. Entered by: Leliadoura. 16:18 Apr 23, 2002. Spanish to English translations [PRO] Medical. thurber house camp

Reverse Relative Afferent Pupillary Defect (RAPD) - EyeWiki

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Sluggishly reactive pupils

pupilas esorreactivas Spanish to English - ProZ.com

Webb15 jan. 2024 · We describe a 73-year-old man who developed a left complete, pupil-sparing 3NP and was found to have a paraclinoid meningioma in the left cavernous sinus. As compressive lesions are expected to... Webb16 mars 2024 · Pupils were sluggishly reactive to light. Tendon reflexes were exaggerated with up going planter reflexes. Moderate hepatomegaly was present. Rest of the clinical examination was normal. Laboratory evaluation confirmed endogenous hyperinsulinaemic hypoglycaemia suggestive of an insulinoma.

Sluggishly reactive pupils

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Webb22 jan. 2024 · A relative afferent pupillary defect (RAPD) also known as a Marcus Gunn pupil, is a critically important ophthalmological examination finding that defines a defect ( pathology) in the pupil pathway on the afferent side. WebbSmall, sluggishly reactive pupils: Impaired upgaze: Impaired convergence: Motor: Atrophy of intrinsic hand and foot muscles: Increased muscle tone: Flexion (stooped) posture: Small-stepped or broad-based gait: Sensory: Reduced visual acuity: Reduced auditory acuity: Reduced gustatory acuity: Reduced olfactory acuity: Reduced vibration sense ...

WebbEarly signs and symptoms of increased intracranial pressure include: Select one: A. hypertension and bradycardia. B. headache and vomiting. C. arm flexion and leg … Webb19 nov. 2024 · Ongoing neurological assessment demonstrated a downward gaze in the left eye, a sluggishly reactive right pupil, no corneal reflex, and a negative oculocephalic reflex. Overnight, the patient developed profuse …

WebbAn RAPD is a defect in the direct response. It is due to damage inoptic nerve or severe retinal disease. It is important to be able to differentiate whether a patient is complaining … Webb20/20 in both eyes. Her right pupil was round, 7 mm in diameter (Image), and sluggishly reactive to light, while her left pupil was 4 mm and briskly reactive. She had no afferent pupillary defect. She had intact extraocular movements, full visual fields, and normal intraocular pressures in both eyes. She had no ptosis or other neurologic deficits.

Webb20 jan. 2024 · Right eye findings showed normal perception and projection of light, sluggishly reactive pupils, vision of < N/36 and disc edema of Grade 3 relative afferent …

Webb21 juni 2011 · In those subjects with abnormally reactive pupils, we found that the first event of abnormality occurred, on average, 15.9 hours prior to the time of the maximum … thurber house summer writing campWebbShortly before and after the operation, his pupils were equal, reactive, 3 mm in size. A follow up CT scan showed no significant change. However, his right pupil suddenly dilated (5.5 mm) approximately 38 hours after the onset (27 hours after the operation), without direct or indirect reaction, and the left pupil dilated gradually following the right. thurber house twitterWebb6 apr. 2024 · Relative Afferent Pupillary Defect (RAPD) is a condition in which pupils respond differently to light stimuli shone in one eye at a time due to unilateral or … thurber house hauntedWebbThe “Rule of the Pupil” states that when aneurysms compress the oculomotor nerve, a dilated or sluggishly reactive pupil will result. In previous decades, when cerebral … thurber house phoneWebb21 aug. 2024 · The patient's pupils were 2 mm and sluggishly reactive under sedation, and the pupils were monitored every 4 h during the periods of ECMO treatment. Heparin was … thurber house author seriesWebb1 sep. 2024 · The "Rule of the Pupil" states that when aneurysms compress the oculomotor nerve, a dilated or sluggishly reactive pupil will result. In previous decades, when … thurber house ohioWebb“A pupil-involving third cranial nerve palsy is one of the true emergencies in neuro-ophthalmology,” said Michael S. Vaphiades, DO, professor and chief of neuro … thurber ingredients company