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Case Reports
. 2012 Sep 11;79(11):e97.
doi: 10.1212/WNL.0b013e3182698cc5.

Teaching video neuroimages: acute Adie syndrome

Affiliations
Case Reports

Teaching video neuroimages: acute Adie syndrome

Benjamin R Wakerley et al. Neurology. .
No abstract available

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Figures

Figure
Figure. Pupil appearances in Adie syndrome
Parasympathetic denervation of the iris sphincter muscle in Adie syndrome results in an enlarged tonic right pupil reacting poorly to light (A, B). Near response was also impaired (C). It is supersensitive to cholinergic agents (pilocarpine 0.1%) (D). Paralysis of the iris results in characteristic segmental vermiform movements. These are visible superolaterally acutely and inferomedially 6 months later (video on the Neurology® Web site at www.neurology.org).

References

    1. Adie WJ. Tonic pupils and absent tendon reflexes: a benign disorder sui generis; its complete and incomplete forms. Brain 1932;55:98–113 - PMC - PubMed
    1. Russell GFM. The pupillary changes in the Holmes-Adie Syndrome. J Neurol Neurosurg Psychiatry 1956;19:289–296 - PMC - PubMed

Publication types