Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2021 Nov 15;8(6):623-625.
doi: 10.14744/nci.2020.26428. eCollection 2021.

Rare causes of anisocoria: Ipratropium bromide and Angel's trumpet

Arzu Ekici  1 , Busra Caglar  2 , Ozlem Kara  3 , Arzu Oto  4 , Nevin Kilic  2
Affiliations
Case Reports

Rare causes of anisocoria: Ipratropium bromide and Angel's trumpet

Arzu Ekici et al. North Clin Istanb. .

Abstract

It is considered a neurological emergency when a patient presents with anisocoria. It is important that the anisocoria whether or not accompanied by the neurological findings. Other reasons of anisocoria should be considered when the absence of neurological or ophthalmological signs such as change of mental status, hemiparesis, ophthalmoplegia, ptosis. Herein we report two cases of temporary anisocoria due to inhaler ipratropium bromide and Angel's trumpet.

Keywords: Angel’s trumpet; anisocoria; ipratropium bromide.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest: No conflict of interest was declared by the authors.

Figures

Figure 1.
Figure 1.
(A) Left unilateral mydriasis induced by Angel’s trumpet. (B) Anisocoria was completely resolved.
Figure 2.
Figure 2.
Angel’s trumpet.
Figure 3.
Figure 3.
(A) Left unilateral mydriasis induced by ipratropium bromide (B) Anisocoria was completely resolved after discontinuing ipratropium bromide.
See this image and copyright information in PMC

References

    1. Gross JR, McClelland CM, Lee MS. An approach to anisocoria. Curr Opin Ophthalmol. 2016;27:486–92. - PubMed
    1. Bajandas FJ, Kline LB. 3rd ed. Thorofare, New Jersey: SLACK Inc.; 1988. Neuro-Ophthalmology Review Manual; pp. 113–24.
    1. Payne WN, Barrett MJ. StatPearls [Internet] Treasure Island (FL): StatPearls Publishing; 2018. Anisocoria.
    1. Takeshima S, Neshige S, Hara N, Kubo T, Himeno T, Kuriyama M. Acute encephalopathy due to angel’s trumpet intoxication: A case report and literature review. [Article in Japanese]. Rinsho Shinkeigaku. 2017;57:225–9. - PubMed
    1. Van der Donck I, Mulliez E, Blanckaert J. Angel’s trumpet (Brugmansia arborea) and mydriasis in a child--a case report. Bull Soc Belge Ophtalmol. 2004:53–6. - PubMed

Publication types

LinkOut - more resources