Document Detail


Parasympathetic pupillary involvement in biopsy-proven temporal arteritis.
MedLine Citation:
PMID:  3207315     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The neuro-ophthalmologic spectrum of temporal arteritis (TA) is broad and includes such diverse presentations as ischemic optic neuropathy, retinal infarction, anterior ocular segment dysfunction, ophthalmoparesis, and cortical blindness. A common clinical dictum suggests that third nerve palsies are associated with pupillary sparing in this systemic arteritis. We present a biopsy-proven case of TA with parasympathetic pupillary involvement and ophthalmoparesis. Relative light-near dissociation and differential clinical response to adrenocorticosteroids occurred. Previous pathologic studies have suggested that clinically apparent parasympathetic pupillary dysfunction could follow arteritic lesions at several neuroanatomic sites and may, therefore, reflect different pathogenetic mechanisms and display distinctive clinical features. Our case effectively broadens the clinicopathologic locus of neuro-ophthalmologic expression in TA.
Authors:
L Rabinowich; M F Mehler
Related Documents :
7140515 - Propranolol-induced dyspnea in a nonasthmatic male.
2071975 - Spasm of arm arteries due to ergotamine tartrate. a case report.
2667755 - Headache in childhood.
8737935 - Clinically and electrodiagnostically pure sensory demyelinating polyneuropathy.
8432515 - Association of sjögren's syndrome with pulmonary hypertension: report of two cases and...
20672405 - Triggering of extensor pollicis longus tendon: case report.
Publication Detail:
Type:  Case Reports; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Annals of ophthalmology     Volume:  20     ISSN:  0003-4886     ISO Abbreviation:  Ann Ophthalmol     Publication Date:  1988 Oct 
Date Detail:
Created Date:  1989-02-01     Completed Date:  1989-02-01     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0210137     Medline TA:  Ann Ophthalmol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  400-2     Citation Subset:  IM    
Affiliation:
Department of Neurology, Albert Einstein College of Medicine, Bronx, NY 10461.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Female
Giant Cell Arteritis / complications,  physiopathology*
Humans
Ophthalmoplegia / etiology,  physiopathology
Parasympathetic Nervous System / physiopathology*
Pupil*
Vision, Ocular
Grant Support
ID/Acronym/Agency:
NS 00856/NS/NINDS NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Presence of anaerobic bacteria in conjunctivitis associated with wearing contact lenses.
Next Document:  Pseudophakic and aphakic pupillary block.