Tuyển tập các báo cáo nghiên cứu khoa học ngành y học tạp chí Medical Sciences dành cho các bạn sinh viên ngành y tham khảo đề tài: Severe Anisocoria after Oral Surgery under General Anesthesia. | Int. J. Med. Sci. 2010 7 314 International Journal of Medical Sciences 2010 7 5 314-318 Ivyspring International Publisher. All rights reserved Case Report Severe Anisocoria after Oral Surgery under General Anesthesia Francesco Inchingolo1 4H Marco Tatullo2 Fabio M. Abenavoli3 Massimo Marrelli4 Alessio D. Inchingolo1 Bruno Villabruna4 Angelo M. Inchingolo5 Gianna Dipalma4 1. Department of Dental Sciences and Surgery General Hospital Bari Italy 2. Department of Medical Biochemistry Medical Biology and Physics General Hospital Bari Italy 3. Department of Head and Neck diseases Hospital Fatebenefratelli Rome Italy 4. Department of Maxillofacial Surgery Calabrodental Crotone Italy 5. Department of Surgical Reconstructive and Diagnostic Sciences General Hospital Milano Italy H Corresponding author Prof. Francesco INCHINGOLO Piazza Giulio Cesare - Policlinico 70124 - Bari. E-mail - . Tel. 00390805593343 - Infoline 00393312111104 Fax 00390883347794. Received Accepted Published Abstract Introduction. Anisocoria indicates a difference in pupil diameter. Etiologies of this clinical manifestation usually include systemic causes as neurological or vascular disorders and local causes as congenital iris disorders and pharmacological effects. Case Report. We present a case of a 47-year-old man suffering from spastic tetraparesis. After the oral surgery under general anesthesia the patient developed severe anisocoria in particular a 4mm diameter increase of the left pupil compared to the right pupil. We performed Computed Tomography CT in the emergency setting Nuclear magnetic resonance NMR of the brain and Magnetic Resonance Angiography of intracranial vessels. These instrumental examinations did not show vascular or neurological diseases. The pupils returned to their physiological condition isocoria after about 180 minutes. Discussion and Conclusions. Literature shows that the cases of anisocoria .
