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An unusual case of anisocoria in a child with bleeding aneurysm of posterior communicating artery and idiopathic thrombocytopenic purpura (ITP).
MedLine Citation:
PMID:  21876596     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Background: ITP can give rise to bleeding episodes in different parts of the body including the central nervous system with various systemic manifestations. Case: An eight-year old female child, diagnosed as a case of chronic ITP for last two years, developed intense headache and vomiting for a few days before admission. This was associated with right sided mid dilated pupil with brisk reaction to light. MRI-angiography showed a bleeding aneurysm of posterior communicating artery. The features of raised intra cranial tension subsided with conservative management but the anisocoria persisted. Conclusion: A bleeding aneurysm can manifest with anisocoria as a sign of partial third cranial nerve palsy.
Authors:
N C Mahapatra; A Bandyopadhyay; S K Samanta; S Dolui; K Fariduddin
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Nepalese journal of ophthalmology : a biannual peer-reviewed academic journal of the Nepal Ophthalmic Society : NEPJOPH     Volume:  3     ISSN:  2072-6805     ISO Abbreviation:  Nepal J Ophthalmol     Publication Date:  2011 Jul 
Date Detail:
Created Date:  2011-08-30     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101505288     Medline TA:  Nepal J Ophthalmol     Country:  Nepal    
Other Details:
Languages:  eng     Pagination:  191-2     Citation Subset:  IM    
Copyright Information:
© NEPjOPH.
Affiliation:
Calcutta National Medical College, Kolkata, West Bengal, India.
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