title: On the difficulties encountered when establishing the correct diagnosis of disturbances in the pupillary reflexes.
abstract: It is always difficult to interpret abnormalities in pupillary reflexes when a patient who has suffered injuries to the upper part of the face is unconscious. Nevertheless, thorough examination of pupillary reflexes can provide vital information about possible damage to the central nervous system. Decisions about treatment of and prognosis for patients with multiple injuries can be made more accurately when the status of the nerves supplying the eye are taken into account. Anatomical and physiological relationships of pupillary reflexes and oculomotor reactions in a patient with multiple injuries are discussed.
authors.affiliation: Neurosurgical Clinic of the Saarland University, Homburg/Saar, West Germany.
authors.forename: E
authors.initials: E
authors.lastname: Donauer
authors.forename: R
authors.initials: R
authors.lastname: Kivelitz
authors.forename: B
authors.initials: B
authors.lastname: Lippitz
authors.forename: H
authors.initials: H
authors.lastname: Jaksche
mesh_terms: D000328:Adult; D001927:Brain Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000503:physiopathology*; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D012025:Reflex, Pupillary; D014057:Tomography, X-Ray Computed