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Anisocoria

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An anisocoria that does not look right.

Anastasia Saade, Jean-Jacques Tudesq, Guillaume Dumas, Eric Mariotte,

Intensive Care Med (Intensive care medicine)
[2020, :]

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Anisocoria as initial manifestation of multiple sclerosis. Use of 3 tesla magnetic resonance imaging.

A Cerveró, A López-de-Eguileta, Á Cano-Abascal, M J Sedano-Tous, M Drake-Pérez, A Casado,

A 21-year-old woman seen in this clinic with non-reactive mydriasis in the right eye that contracted with 1% pilocarpine. Cranial angio-CT and 1.5 T magnetic resonance imaging (MRI) did not detect any disease. Given a subsequent limitation of adduction, supraduction, and infarction of the right eye, a 3 T MRI was requested. ... Read more >>

Arch Soc Esp Oftalmol (Archivos de la Sociedad Espanola de Oftalmologia)
[2020, :]

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Corticotroph adenoma and pituitary fungal infection: a rare association.

Diana Catarino, Cristina Ribeiro, Leonor Gomes, Isabel Paiva,

Summary:Pituitary infections, particularly with fungus, are rare disorders that usually occur in immunocompromised patients. Cushing's syndrome predisposes patients to infectious diseases due to their immunosuppression status. We report the case of a 55-year-old woman, working as a poultry farmer, who developed intense headache, palpebral ptosis, anisocoria, prostration and psychomotor agitation ... Read more >>

Endocrinol Diabetes Metab Case Rep (Endocrinology, diabetes & metabolism case reports)
[2020, 2020:]

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Decompressive craniectomy in pediatric non-traumatic intracranial hypertension: a single center experience.

Vijai Williams, Arun Bansal, Muralidharan Jayashree, Javed Ismail, Ashish Aggarwal, S K Gupta, Sunit Singhi, Pratibha Singhi, Arun Kumar Baranwal, Karthi Nallasamy,

Purpose: To study the clinical profile and predictors of outcome in children undergoing decompressive craniectomy (DC) for non-traumatic intracranial hypertension (ICH).Materials and methods: Mixed observational study of children, aged 1 month-12 years, who underwent DC for non-traumatic ICH in a tertiary care pediatric intensive care unit from 2012 to 2017. ... Read more >>

Br J Neurosurg (British journal of neurosurgery)
[2020, :1-6]

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Unusual Phenotype and Disease Trajectory in Kearns-Sayre Syndrome.

Josef Finsterer, Michael Winklehner, Claudia Stöllberger, Thomas Hummel,

Objective:To describe unusual course and unusual phenotypic features in an adult patient with Kearns-Sayre syndrome (KSS). Case Report. The patient is a 49-year-old male with KSS, diagnosed clinically upon the core features, namely, onset before the age 20 of years, pigmentary retinopathy, and ophthalmoparesis, and the complementary features, namely, elevated ... Read more >>

Case Rep Neurol Med (Case reports in neurological medicine)
[2020, 2020:7368527]

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Automated Pupillometry using a Prototype Binocular Optical Coherence Tomography System.

Reena Chopra, Pádraig J Mulholland, Axel Petzold, Lola Ogunbowale, Gus Gazzard, Fion Bremner, Roger S Anderson, Pearse A Keane,

PURPOSE:To determine the test-retest reliability and diagnostic accuracy of a binocular optical coherence tomography (OCT) prototype (Envision Diagnostics, USA) for pupillometry. DESIGN:Assessment of diagnostic reliability and accuracy. METHODS:Fifty participants with RAPD confirmed using the swinging flashlight method (mean age 49.6 years) and 50 healthy controls (mean age 31.3 years) were ... Read more >>

Am. J. Ophthalmol. (American journal of ophthalmology)
[2020, :]

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Establishing a normative database for quantitative pupillometry in the pediatric population.

Sanket S. Shah, Hantamalala Ralay Ranaivo, Rebecca B. Mets-Halgrimson, Karen Rychlik, Sudhi P. Kurup,

BackgroundPupillary evaluation is a crucial element of physical exams. Noting size, reactivity, and consensual response is critical in assessing for optic nerve dysfunction. We aim to establish normative data for scotopic pupillary size and function in the pediatric population in a clinical setting.MethodsPupillometry was obtained prospectively for consecutive, normal patients ... Read more >>

BMC Ophthalmol (BMC Ophthalmology)
[2020, 20:]

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Essential Noninvasive Multimodality Neuromonitoring for the Critically Ill Patient.

Frank A Rasulo, Tommaso Togni, Stefano Romagnoli,

This article is one of ten reviews selected from the Annual Update in Intensive Care and Emergency Medicine 2020. Other selected articles can be found online at https://www.biomedcentral.com/collections/annualupdate2020. Further information about the Annual Update in Intensive Care and Emergency Medicine is available from http://www.springer.com/series/8901. ... Read more >>

Crit Care (Critical care (London, England))
[2020, 24(1):100]

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Horner syndrome secondary to Hodgkin lymphoma.

Andrew Micieli, Zeina Ghorab, Jonathan A Micieli,

CMAJ (CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne)
[2020, 192(8):E187]

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Frey syndrome-like developmental dysautonomia in a child with PHACE syndrome.

Shannon R Kurian, Elaine C Siegfried,

PHACE syndrome classically presents with a large, segmental facial infantile hemangioma (IH) associated with structural and vascular abnormalities involving the head and neck, heart, and eyes. We evaluated an infant who presented with ptosis caused by a clinically subtle, deep right-sided periorbital IH identified on MRI that also incidentally revealed ... Read more >>

Pediatr Dermatol (Pediatric dermatology)
[2020, :]

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Comparision effects of solifenacin, darifenacin, propiverine on ocular parameters in eyes: A prospective study.

Mahmut Taha Olcucu, Kerem Teke, Kadir Yildirim, Mesut Toğac, Burcu Işık, Yusuf Cem Yilmaz,

OBJECTIVE:To evaluate the effects of solifenacin, darifenacin, and propiverine on nasal-, subfoveal-, temporal choroidal thicknesses (NCT, SFCT, TCT), intraocular pressure (IOP) and pupil diameter (PD). MATERIALS AND METHODS:Patients with overactive bladder (OAB) diagnosed according to The International Continence Society were administered with solifenacin, darifenacin or propiverine on a daily basis ... Read more >>

Int Braz J Urol (International braz j urol : official journal of the Brazilian Society of Urology)
[2020, 46(2):185-193]

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Internal Carotid Artery Dissection Presenting as Partial Horner's Syndrome and Vertigo.

Jeffrey C Teixeira, Paula J Jackson,

Distinguishing between central and peripheral causes of vertigo can be challenging not only in an acute setting but also in chronic settings. A thorough review of systems and physical exam can assist providers in differentiating central versus peripheral etiologies and the need for urgent imaging. In this case, a 47-year-old ... Read more >>

Mil Med (Military medicine)
[2020, :]

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Allgrove Syndrome: A Report of New Pathological Variants in the AAAS Gene.

Samir Jabbour, Patrick Hamel, Jean-François Soucy, Luis H Ospina,

PURPOSE:To report 2 novel variants in the AAAS gene consistent with the diagnosis of Allgrove syndrome. METHODS:A 12-year-old girl was referred to our clinic for progressive bilateral decrease in visual acuity. She was known for achalasia that had been surgically treated at a very early age. On examination, she was ... Read more >>

Cornea (Cornea)
[2020, :]

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Co-infection with Bartonella henselae and Sarcocystis sp. in a 6-year-old male neutered domestic longhair cat with progressive multifocal neurological signs.

Aude Castel, Natasha J Olby, Edward B Breitschwerdt, Brittany Thomas, Ricardo G Maggi, G Diane Shelton,

Vet Q (The veterinary quarterly)
[2019, 39(1):168-173]

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Postoperative Horner Syndrome After Lung Transplantation.

Jonathan A Go, Aroucha Vickers, Thomas S Kaleekal, Hilary A Beaver, Andrew G Lee,

BACKGROUND:Horner syndrome arises from a disruption along the oculosympathetic efferent chain and can be caused by a variety of pathological and iatrogenic etiologies. We present 3 cases of postoperative Horner syndrome after bilateral lung transplantation. METHODS:The electronic health records of 3 patients with iatrogenic Horner syndrome after lung transplantation were ... Read more >>

J Neuroophthalmol (Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society)
[2019, :]

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Anisocoria: Realities, Recognition, and Remedial Aspects.

Subramanian Senthilkumaran, Narendra N Jena, Namasivayam Balamurugan, Benita Florence, Ponniah Thirumalaikolundusubramanian,

The realities, recognition, and remedial aspects of anisocoria at the bedside were highlighted by Adhikari et al.,1 which is almost similar to an earlier report from India.2 Since this condition involves patient safety and clinical assessment, we would like to touch upon 3 Ps (physiological, pathological, and pharmacological) of anisocoria. ... Read more >>

Indian J Crit Care Med (Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine)
[2019, 23(11):543]

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The Prevalence of Physiological Anisocoria and its Clinical Significance - A Neurosurgical Perspective.

Anjali Sarah George, Ananth P Abraham, Shalini Nair, Mathew Joseph,

Aim:We aimed to estimate the prevalence of physiological anisocoria and also evaluate the accuracy of clinical assessment of anisocoria employed in routine bedside examination. Materials and Methods:A total of 708 voluntary subjects between the ages of 20-69 years who had no history of ophthalmologic or neurological disease other than refractive ... Read more >>

Neurol India (Neurology India)
[2019, 67(6):1500-1503]

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When Zoster Virus Hides a Primary Brain Lymphoma.

Rafael Ferreira Nascimento, João Miguel Freitas, Maria da Luz Brazão,

Aim:To describe an unusual presentation of a primary lymphoma of the central nervous system in a patient who, four months prior to admission, was diagnosed with herpes zoster ophthalmicus (HZO). Case description:A 68-year-old man, with a history of HZO, was admitted to the emergency department with nausea and vomiting that ... Read more >>

Eur J Case Rep Intern Med (European journal of case reports in internal medicine)
[2019, 6(12):001341]

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External Validation and Modification of the EDEMA Score for Predicting Malignant Brain Edema After Acute Ischemic Stroke.

Yajun Cheng, Simiao Wu, Yanan Wang, Quhong Song, Ruozhen Yuan, Qian Wu, Shuting Zhang, Shihong Zhang, Bo Wu, Ming Liu,

BACKGROUND:Accurate prediction of malignant brain edema (MBE) after stroke is paramount to facilitate close monitoring and timely surgical intervention. The Enhanced Detection of Edema in Malignant Anterior Circulation Stroke (EDEMA) score was useful to predict potentially lethal malignant edema in Western populations. We aimed to validate and modify it to ... Read more >>

Neurocrit Care (Neurocritical care)
[2020, 32(1):104-112]

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Surgical Venous Drainage Disconnection from Cavernous Sinus Dural Arteriovenous Fistula and Ruptured Varix.

Yusuke Iki, Yoichi Morofuji, Chika Somagawa, Susumu Yamaguchi, Jumpei Hamabe, Nobutaka Horie, Tsuyoshi Izumo, Kazuhiko Suyama, Takayuki Matsuo,

BACKGROUND:Cavernous sinus dural arteriovenous fistulas (CS dAVFs) occasionally behave aggressively (e.g., intracranial hemorrhage, venous infarction, seizures) depending on the drainage flow and presence of a collateral route of cortical or basal cerebral venous drainage. When a CS dAVF with aggressive behavior is encountered, a radical cure is required to avoid ... Read more >>

World Neurosurg (World neurosurgery)
[2020, 137:18-23]

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Brainstem folding in an influenza child with Dandy-Walker variant.

Su-Yun Li, Pei-Qing Li, Wei-Qiang Xiao, Hong-Sheng Liu, Si-Da Yang,

BACKGROUND:Influenza in children is a major cause of morbidity and mortality worldwide. Nervous system diseases are a factor relating to increased mortality rate. However, reports of how these underlying diseases contribute to the death of children with influenza are rare. CASE SUMMARY:A 4-year-old-girl developed type A influenza-related encephalopathy (IAE) with ... Read more >>

World J Clin Cases (World journal of clinical cases)
[2020, 8(2):382-389]

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Use of gloves when applying topical glycopyrronium for treatment of primary axillary hyperhidrosis.

Spyros M Siscos, Karen Figenshau, Anand Rajpara,

J. Am. Acad. Dermatol. (Journal of the American Academy of Dermatology)
[2019, :]

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Rare Signet Ring Cell Adenocarcinoma of the Colon Metastasis to the Orbit.

Colin Bacorn, Lily Koo Lin,

Metastases arising from primary tumors of the gastrointestinal tract are not commonly encountered in the orbit. Colorectal carcinomas are subcategorized based on morphological and genetic characteristics with these distinctions bearing therapeutic and prognostic significance. The behavior of these subcategories, including their propensity for orbital metastasis, differs, and clinicians treating these ... Read more >>

Case Rep Ophthalmol Med (Case reports in ophthalmological medicine)
[2020, 2020:2940579]

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The "Blown Pupil": Imminent Death or Harmless Contamination?

Nash A K Witten, Peter J Di Rocco,

Acute anisocoria and unilateral mydriasis is physically alarming to patients and diagnostically worrisome to clinicians. We report the case of a 14-year-old girl who presented to the pediatric emergency department with acute anisocoria and unilateral mydriasis after contacting an Angel's trumpet plant and who had complete resolution of symptoms four ... Read more >>

Hawaii J Health Soc Welf (Hawai'i journal of health & social welfare)
[2019, 78(10):308-310]

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Intracranial invasive mycosis mimicking hepatic encephalopathy in a patient with cirrhosis.

Akash Roy, Nipun Verma, Chirag Kamal Ahuja,

A 45-year-old man with alcohol-related decompensated cirrhosis presented with jaundice, fever, headache and altered sensorium. At presentation, he had tachycardia, disorientation to time and place, asterixis, icterus and upgoing plantar response. Investigations showed anaemia, thrombocytopenia, leucocytosis, hyperbilirubinemia and elevated arterial ammonia. Despite management with antihepatic coma measures and normalisation of ... Read more >>

BMJ Case Rep (BMJ case reports)
[2019, 12(11):]

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