Episodic unilateral mydriasis and headaches.
When anisocoria is associated with headaches, it usually heralds serious central nervous system pathology such as tumors, aneurysms, or herniation. But when a patient has isolated, episodic unilateral mydriasis and migraine, such a patient may be reassured and further workup undertaken only if symptoms worsen or change. We present a 17-year-old who had severe headaches and episodic pupillary dilation, and review the current literature on the topic.
Blaik
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Z
Department of Internal Medicine, James H. Quillen College of Medicine, East Tennessee State University, Johnson City, USA.
Hiremagular
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D000293:Adolescent; D001921:Brain / Q000473:pathology; D002533:Cerebral Angiography; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008881:Migraine Disorders / Q000150:complications* / Q000175:diagnosis; D015878:Mydriasis / Q000209:etiology*