title: [Cessation of anesthesia after newly occurring anisocoria without light reflexes].
abstract: Anisocoria during general anaesthesia is rare. The combination of anisocoria and absence of any reaction to light is highly suspicious of an intracerebral lesion. This article reports the case of a patient with known Adie's syndrome where anisocoria led to an unnecessary immediate interruption of anesthesia. A preoperative examination, including inspection of the pupils, frequent perioperative check ups and documentation of diagnostic findings, even if negative, has to be standard for every anesthesia.
authors.affiliation: Klinik für Anästhesie und operative Intensivmedizin, St. Franziskus Hospital Münster GmbH, Hohenzollernring 72, 48145 Münster, Deutschland. Andre.Hemping-Bovenkerk@SFH-Muenster.de
authors.forename: A
authors.initials: A
authors.lastname: Hemping-Bovenkerk
authors.forename: K
authors.initials: K
authors.lastname: Frerker
authors.forename: S
authors.initials: S
authors.lastname: Gurlit
authors.forename: M
authors.initials: M
authors.lastname: Möllmann
mesh_terms: D000758:Anesthesia / Q000009:adverse effects*; D015875:Anisocoria / Q000175:diagnosis / Q000209:etiology*; D001943:Breast Neoplasms / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D016343:Monitoring, Intraoperative; D015878:Mydriasis / Q000209:etiology; D011300:Preoperative Care; D012025:Reflex, Pupillary / Q000187:drug effects; D015845:Tonic Pupil / Q000150:complications / Q000175:diagnosis