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Epileptic Pupillary Hippus on Physical Exam Epileptic pupillary Hippus- spasmodic or rhythmic contraction of the pupil of the eye. Seen in a comatose patient after cardiac arrest. Accompanied by contralateral eyelid myoclonus. EEG showed generalized epileptic periodic discharges. Dr. Boby Varkey Maramattom @bobvarkey #Epileptic #Pupillary #Hippus #PhysicalExam #clinical #video #neurology #ocular #pupils