| Severe anisocoria after oral surgery under general anesthesia. | |
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MedLine Citation:
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PMID: 20922052 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION: Anisocoria indicates a difference in pupil diameter. Etiologies of this clinical manifestation usually include systemic causes as neurological or vascular disorders, and local causes as congenital iris disorders and pharmacological effects. CASE REPORT: We present a case of a 47-year-old man, suffering from spastic tetraparesis. After the oral surgery under general anesthesia, the patient developed severe anisocoria: in particular, a ~4 mm diameter increase of the left pupil compared to the right pupil. We performed Computed Tomography (CT) in the emergency setting, Nuclear magnetic resonance (NMR) of the brain and Magnetic Resonance Angiography of intracranial vessels. These instrumental examinations did not show vascular or neurological diseases. The pupils returned to their physiological condition (isocoria) after about 180 minutes. DISCUSSION AND CONCLUSIONS: Literature shows that the cases of anisocoria reported during or after oral surgery are rare occurrences, especially in cases of simple tooth extraction. Anisocoria can manifest in more or less evident forms: therefore, it is clear that knowing this clinical condition is of crucial importance for a correct and timely resolution. |
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Authors:
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Francesco Inchingolo; Marco Tatullo; Fabio M Abenavoli; Massimo Marrelli; Alessio D Inchingolo; Bruno Villabruna; Angelo M Inchingolo; Gianna Dipalma |
Publication Detail:
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Type: Case Reports; Journal Article Date: 2010-09-10 |
Journal Detail:
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Title: International journal of medical sciences Volume: 7 ISSN: 1449-1907 ISO Abbreviation: Int J Med Sci Publication Date: 2010 |
Date Detail:
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Created Date: 2010-10-05 Completed Date: 2010-12-10 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101213954 Medline TA: Int J Med Sci Country: Australia |
Other Details:
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Languages: eng Pagination: 314-8 Citation Subset: IM |
Affiliation:
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Department of Dental Sciences and Surgery, General Hospital, Bari, Italy. f.inchingolo@tin.it |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Anesthesia, General* Anisocoria / etiology* Humans Male Middle Aged Postoperative Complications Surgery, Oral |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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