1421 results
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
Anisocoria Evaluation ... Measure pupil size ... If anisocoria iS ... noted, re-measure pupil ... - Horner's Syndrome
Pupillary Abnormalities  Overview
 - Unequal Pupils (anisocoria)
 - Tonic pupil (Adie's pupil)
 - OculomotorNerve (CN
Overview - Unequal Pupils ... (anisocoria) ... - Tonic pupil (Adie's ... - Homer's Syndrome ... Differential #Types #Anisocoria
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... mildly dilated pupil ... Holmes-Adie Syndrome ... : • Adie's Pupil ... • Physiologic Anisocoria
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... diagnosis of Horner's syndrome ... how the right pupil ... anterior_seg_rocks #Horners #Syndrome ... physicalexam #neurology #Anisocoria
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
Anisocoria - Pupillary ... ( Anisocoria ... - 10% cocaine: pupils ... Tonic (Adie's) Pupil ... #Pupillary #Pupils
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
Isocoria - Pupillary ... Relative Afferent Pupil ... Neuropathy Constricted Pupils ... Midbrain (Parinaud's Syndrome ... #Pupillary #Pupils
Pupils: Localization in Coma
 • Small, Reactive pupils: Metabolic coma.
 • Unilateral Fixed, dilated pupil :
Pupils: Localization ... Small, Reactive pupils ... Fixed, dilated pupil ... • Pinpoint pupils ... • Horner's syndrome
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Unresponsive wakefulness syndrome ... • Locked-in syndrome ... Cough reflex Pupils ... : • Anisocoria
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... a sudden onset anisocoria ... the exception of anisocoria ... evaluation of anisocoria ... denotes anisocoria
Mydriasis and Miosis - Differential Diagnosis Framework

Causes of Mydriasis:
Dilated pupils (mydriasis) more than 7mm
 • Unilateral
Mydriasis: Dilated pupils ... , Adie's tonic pupil ... response, Serotonin syndrome ... : Constricted pupils ... Miosis: Horner's syndrome