title: Anisocoria in a 10-month old girl in the immediate preoperative setting: can you proceed with surgery?
abstract: We report the case of a 10-month old girl with a significant past medical history who presented for elective surgery with a new-onset fixed, dilated pupil. We briefly review the diagnostic approach to such patients and provide guidelines for managing these patients in the immediate preoperative setting.
authors.affiliation: Department of Anesthesiology and Pain Medicine, University of California Davis Health System, CA 95817, USA.
authors.forename: Zoel A
authors.initials: ZA
authors.lastname: Quinonez
authors.forename: Niroop R
authors.initials: NR
authors.lastname: Ravula
keywords: anisocoria; anticholinergics; ipratropium
references.citation: Clin Pediatr (Phila). 1998 Jul;37(7):445-7
references.pmid: 9675440
references.citation: Arch Soc Esp Oftalmol. 2006 Nov;81(11):657-60
references.pmid: 17136640
references.citation: Eur J Emerg Med. 2000 Sep;7(3):247-8
references.pmid: 11142280
references.citation: Postgrad Med J. 1992 Feb;68(796):132-3
references.pmid: 1533281
references.citation: Chest. 1988 Apr;93(4):739-41
references.pmid: 2964995
references.citation: J Neuroophthalmol. 2008 Sep;28(3):236-7
references.pmid: 18769293
references.citation: Eur J Pharmacol. 2006 Mar 8;533(1-3):36-9
references.pmid: 16488410
references.citation: Curr Opin Ophthalmol. 2007 Mar;18(2):129-33
references.pmid: 17301614
references.citation: Lancet. 1984 Sep 22;2(8404):691
references.pmid: 6147708
references.citation: Ophthalmology. 1995 Nov;102(11):1623-7
references.pmid: 9098253
references.citation: Lancet. 2004 Jun 5;363(9424):1853
references.pmid: 15183622
references.citation: Am Fam Physician. 2007 Sep 15;76(6):829-36
references.pmid: 17910297
references.citation: Arch Fam Med. 1997 Jul-Aug;6(4):385-8
references.pmid: 9225713
references.citation: Curr Neurol Neurosci Rep. 2007 Sep;7(5):417-22
references.pmid: 17764632
references.citation: Rev Neurol (Paris). 1995 May;151(5):344-6
references.pmid: 7481394
references.citation: Eur J Pediatr. 2002 Mar;161(3):178
references.pmid: 11998922
references.citation: Paediatr Anaesth. 2005 Dec;15(12):1120-3
references.pmid: 16324036
references.citation: N Z Med J. 1982 Oct 27;95(718):749
references.pmid: 6216428
references.citation: Respir Med. 1993 Oct;87(7):559-61
references.pmid: 8265848
references.citation: Oral Surg Oral Med Oral Pathol. 1990 Nov;70(5):569-70
references.pmid: 2234876