Neurosyphilis Masquerading as an Acute Adie's Tonic Pupil: Report of a Case

ABSTRACT: We describe the case of a male patient who presented with anisocoria, and was initially diagnosed with an acute Adie's tonic pupil. On subsequent laboratory testing, he was found to have neurosyphilis. Magnetic resonance imaging demonstrated enhancement of the right oculomotor nerve....

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Autores principales: Camoriano, Gerardo D., Kassab, Jacinthe, Suchak, Amar, Gimbel, Howard V.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2011
Materias:
Published: June 2011
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3130493/
https://www.ncbi.nlm.nih.gov/pubmed/21886621
http://dx.doi.org/10.1159/000329704
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author Camoriano, Gerardo D.
Kassab, Jacinthe
Suchak, Amar
Gimbel, Howard V.
author_facet Camoriano, Gerardo D.
Kassab, Jacinthe
Suchak, Amar
Gimbel, Howard V.
author_sort Camoriano, Gerardo D.
collection PubMed
description ABSTRACT: We describe the case of a male patient who presented with anisocoria, and was initially diagnosed with an acute Adie's tonic pupil. On subsequent laboratory testing, he was found to have neurosyphilis. Magnetic resonance imaging demonstrated enhancement of the right oculomotor nerve. This case underscores the importance of considering this diagnosis in patients with acute onset internal ophthalmoplegia and hypersensitivity to dilute pilocarpine, even in the absence of other oculomotor nerve findings.
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spelling pubmed-31304932011-08-30 Neurosyphilis Masquerading as an Acute Adie's Tonic Pupil: Report of a Case Camoriano, Gerardo D. Kassab, Jacinthe Suchak, Amar Gimbel, Howard V. Case Rep Ophthalmol Published: June 2011 ABSTRACT: We describe the case of a male patient who presented with anisocoria, and was initially diagnosed with an acute Adie's tonic pupil. On subsequent laboratory testing, he was found to have neurosyphilis. Magnetic resonance imaging demonstrated enhancement of the right oculomotor nerve. This case underscores the importance of considering this diagnosis in patients with acute onset internal ophthalmoplegia and hypersensitivity to dilute pilocarpine, even in the absence of other oculomotor nerve findings. S. Karger AG 2011-06-28 /pmc/articles/PMC3130493/ /pubmed/21886621 http://dx.doi.org/10.1159/000329704 Text en Copyright © 2011 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial-No-Derivative-Works License (http://creativecommons.org/licenses/by-nc-nd/3.0/). Users may download, print and share this work on the Internet for noncommercial purposes only, provided the original work is properly cited, and a link to the original work on http://www.karger.com and the terms of this license are included in any shared versions.
spellingShingle Published: June 2011
Camoriano, Gerardo D.
Kassab, Jacinthe
Suchak, Amar
Gimbel, Howard V.
Neurosyphilis Masquerading as an Acute Adie's Tonic Pupil: Report of a Case
title Neurosyphilis Masquerading as an Acute Adie's Tonic Pupil: Report of a Case
title_full Neurosyphilis Masquerading as an Acute Adie's Tonic Pupil: Report of a Case
title_fullStr Neurosyphilis Masquerading as an Acute Adie's Tonic Pupil: Report of a Case
title_full_unstemmed Neurosyphilis Masquerading as an Acute Adie's Tonic Pupil: Report of a Case
title_short Neurosyphilis Masquerading as an Acute Adie's Tonic Pupil: Report of a Case
title_sort neurosyphilis masquerading as an acute adie's tonic pupil: report of a case
topic Published: June 2011
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3130493/
https://www.ncbi.nlm.nih.gov/pubmed/21886621
http://dx.doi.org/10.1159/000329704
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