Rare autonomic nervous system dysfunction: Alternating bilateral mydriasis

Abstract

This study did not receive any funding. Ethical approval: The research was approved by the hospital ethics committee. Conflicts of interests:The authors declare that they have no competing interests. Contributors: PX, JW, and LDS analyzed and interpreted the patient data regarding autonomic nervous system dysfunction. FQ, HQW, YY, and ML performed the specialized examination and imaging analysis of the patient, and were major contributors in writing the manuscript. YHH and MH checked and revised the paper. All authors have read and approved the fi nal manuscript.

Bilateral Transient Dilated and Fixed Pupils After Microvascular Decompression: Rare Clinical Experience

“…Migraine is a common neurological disease that causes a variety of symptoms, which is mainly manifested as unilateral dilated pupils, and some scholars demonstrated that the underlying mechanism could be mainly related to the abnormality of sympathetic fiber components in oculomotor nerves24–26; glaucoma is a condition of increased intraocular pressure in the eye that may progress to loss of vision, and there is also a large number of patients with dilated pupils27,28; other dilated pupils of unknown origin have been previously reported29–31 Supplemental Table 1, Supplemental Digital Content 1, http://links.lww.com/SCS/E905). In the present study, no relevant medical data could be found in the preoperative data collection and physical examination of the 2 patients, and the primary ophthalmic disease was also ruled out in the postoperative ophthalmic consultation.…”