Neuro-Ophthalmic Disorders

Skorin, Leonid

doi:10.1016/b978-0-7506-7576-5.50027-6

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“…Causes of anisocoria include compression or destruction of the third cranial nerve by increased intracranial pressure (ICP) from tumour, thrombus, oedema, aneurysm or haemorrhage. [ 1 ] Cases of anisocoria have rarely been reported in the postoperative intensive care unit (ICU) setting. We report a case of anisocoria in ICU that was in all likelihood linked to the vulnerability of brain with old traumatic brain injury (TBI) to regional increase in ICP secondary to general anaesthesia and intraoperative fluid resuscitation.…”

Section: Introductionmentioning

confidence: 99%

Postoperative acute anisocoria and old traumatic brain injury

et al. 2011

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Anisocoria is an uncommon entity in general postoperative intensive care. We present a case of a 45-year-old man suffering from severe acute pancreatitis with a past history of traumatic brain injury (TBI), who developed hypertension, bradycardia and anisocoria soon after re-exploration surgery under general anaesthesia. Computed tomography showed no new lesion. Measures directed towards reducing intracranial pressure resulted in amelioration in about 12h. The possible role of old TBI in the causation of anisocoria during general anaesthesia and resuscitation has been explored in this report.

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Section: Introductionmentioning

confidence: 99%