A well-appearing infant with a sudden anisocoria
| Autor: | Roberto Dall'Amico, Laura Diplotti, Andrew Tenore, Egidio Barbi, Alessia Giuseppina Servidio, Laura Cesca, Francesca Peri |
|---|---|
| Přispěvatelé: | Servidio, A. G., Peri, F., Tenore, A., Cesca, L., Diplotti, L., Dall'Amico, R., Barbi, E. |
| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
Male
Child abuse Pediatrics medicine.medical_specialty child abuse Vital signs Mothers Physical examination 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Mydriasis medicine Humans Medical history Child Anisocoria medicine.diagnostic_test business.industry Brain Infant Emergency department ophthalmology toxicology Pediatrics Perinatology and Child Health 030221 ophthalmology & optometry Female Presentation (obstetrics) medicine.symptom Sleep business |
| Popis: | Case presentationA 10-month-old boy was admitted to the emergency department due to a sudden onset of left unilateral mydriasis (figure 1). His medical history was unremarkable. A minor head trauma 2 days before was reported, without alarming signs or symptoms. His mother was putting him to sleep, after coming back from work, when she noticed a different pupil size and promptly went to the ED with her husband. The parents denied any use of medications, including nebulised therapy or direct contact with plants. The child was well appearing and his vital signs were within the standard age limits. His extraocular motility was normal as well as the rest of his neurological and physical examination. Parents’ behaviour was somehow remarkable. Even though the child was not suffering, the mother seemed very worried while the father was nervous and aggressive, repeatedly asking for a discharge.Figure 1Left unilateral mydriasis.QuestionsWhat is the most likely diagnosis based on this clinical presentation?Local contact with a mydriatic substanceIntracerebral haemorrhageBrain tumourThird nerve palsyWhat would be the next step in the investigation to confirm this diagnosis?Brain CTBrain MRIFundus oculi examinationToxicological screening of urineHow is this condition managed, and what is the prognosis?Answers can be found on page XX |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|