1003 results
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
Anisocoria Evaluation ... - Differential Diagnosis ... If anisocoria iS ... - Horner's Syndrome ... #Differential #Diagnosis
Pupillary Abnormalities  Overview
 - Unequal Pupils (anisocoria)
 - Tonic pupil (Adie's pupil)
 - OculomotorNerve (CN
(anisocoria) ... - Tonic pupil (Adie's ... - Homer's Syndrome ... #Diagnosis #Ophthalmology ... 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 ... females Differential Diagnosis ... • Physiologic Anisocoria
Horner's Syndrome on Physical Exam

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

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

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... 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
- Differential Diagnosis ... , Adie's tonic pupil ... response, Serotonin syndrome ... Miosis: Horner's syndrome ... #differential #diagnosis