Tonic pupil and orbital glial-neural hamartoma in infancy.

Autor: Brooks-Kayal AR; Neurology Service, University of Pennsylvania School of Medicine, USA., Liu GT, Menacker SJ, Heher KL, Katowitz JA, Bilaniuk LT
Jazyk: angličtina
Zdroj: American journal of ophthalmology [Am J Ophthalmol] 1995 Jun; Vol. 119 (6), pp. 809-11.
DOI: 10.1016/s0002-9394(14)72796-5
Abstrakt: Purpose/methods: Tonic pupils in early childhood are rare. We studied an otherwise healthy 31/2-month-old girl who had a right pupil that was poorly reactive to light, without other signs of oculomotor nerve palsy.
Results/conclusions: Constriction of the right pupil after instillation of 0.125% pilocarpine eyedrops confirmed denervation hypersensitivity, consistent with a tonic pupil. There was no strabismus or proptosis. A magnetic resonance imaging scan demonstrated a right orbital mass, interposed between the lateral and inferior recti muscles. Biopsy was consistent with a benign, glial-neural hamartoma. Thus, in this young patient, a tonic pupil was associated with a benign orbital mass.
Databáze: MEDLINE