ABSTRACT
La última amenaza para la salud a nivel mundial es el continuo brote de la enfermedad respiratoria, que recibió el nombre de COVID-19, y desde entonces se han publicado múltiples complicaciones neurológicas que están en constante evolución. Presentamos el caso de un paciente con pupila tónica bilateral en el contexto postinfeccioso de COVID-19. La resonancia magnética cerebral y los estudios analíticos fueron normales, una prueba de pilocarpina al 0,125% confirmó el diagnóstico (AU)
The latest global health threat is the ongoing outbreak of respiratory disease, which was named COVID-19 and multiple ever-evolving neurological complications have since been reported. We present the case of a patient with a bilateral tonic pupil in the postinfectious context of COVID-19. Brain magnetic resonance imaging and laboratory tests were normal, a 0.125% pilocarpine test confirmed the diagnosis (AU)
Subject(s)
Humans , Female , Adult , Tonic Pupil/virology , Coronavirus Infections/complications , Pandemics , Tonic Pupil/diagnostic imaging , Magnetic Resonance ImagingABSTRACT
No disponible
Subject(s)
Humans , Female , Young Adult , Tonic Pupil/diagnosis , Pilocarpine/administration & dosage , Tonic Pupil/blood , Tonic Pupil/diagnostic imaging , Pupil Disorders/diagnosis , Magnetic Resonance Spectroscopy/methods , Magnetic Resonance Angiography/methodsABSTRACT
PURPOSE: To describe a case of plateau iris associated with bilateral Adie's pupil. DESIGN: Interventional case report. METHODS: A 54-year-old woman presented with pain in her right eye and headache. Intraocular pressure was 34 mm Hg in the right eye. Light reflex was defective bilaterally. RESULTS: Ultrasound biomicroscopic imaging revealed normal anterior chamber depth and narrow angle. The ciliary processes were situated anteriorly. The eyes showed supersensitivity to 0.125% pilocarpine. The patient was diagnosed as having bilateral angle-closure glaucoma induced by Adie's pupil and plateau iris. CONCLUSION: Mild pupillary dilation caused by Adie's pupil may have played a role in the development of angle closure in the plateau iris configuration of our patient.
Subject(s)
Glaucoma, Angle-Closure/etiology , Iris Diseases/complications , Tonic Pupil/complications , Anterior Chamber/diagnostic imaging , Female , Glaucoma, Angle-Closure/diagnostic imaging , Glaucoma, Angle-Closure/drug therapy , Gonioscopy , Humans , Intraocular Pressure/drug effects , Iris Diseases/diagnostic imaging , Iris Diseases/drug therapy , Middle Aged , Muscarinic Agonists/therapeutic use , Pilocarpine/therapeutic use , Reflex, Pupillary , Tonic Pupil/diagnostic imaging , Tonic Pupil/drug therapy , UltrasonographySubject(s)
Giant Cell Arteritis/complications , Tonic Pupil/etiology , Female , Fluorescein Angiography/methods , Giant Cell Arteritis/diagnostic imaging , Humans , Macula Lutea/blood supply , Middle Aged , Optic Disk/blood supply , Retinal Vessels/diagnostic imaging , Tonic Pupil/diagnostic imaging , Ultrasonography , Vision Disorders/diagnostic imaging , Vision Disorders/etiology , Visual AcuityABSTRACT
We investigated cardiac sympathetic innervation by metaiodobenzylguanidine (MIBG) imaging in a patient with tonic pupils, loss of tendon reflexes, and segmental anhidrosis (Ross syndrome). Despite normal cardiovascular reflex tests, we observed a reduced global myocardial MIBG uptake as well as a regional uptake defect over the posterolateral cardiac territory indicating left ventricular peripheral sympathetic denervation. MIBG imaging seems to be a useful noninvasive diagnostic method for detection of early--possibly subclinical--cardiac autonomic impairment in Ross syndrome and provides further evidence of injury to postganglionic autonomic neurons as the underlying pathological mechanism of the disease.
