Japanese journal of ophthalmology · 2003
Bilateral tonic pupils associated with neurosyphilis.
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Sakai Tsutomu, Shikishima Keigo, Mizobuchi Tokihide, Yoshida Masaki, Kitahara Kenji
Аннотация
BACKGROUND: To describe 4 patients with bilateral tonic pupils in neurosyphilis.
CASES: Four young men had pupillary abnormalities, which involved irregular shapes, large sizes, tonic reactions, and vermiform movements of both pupils with light-near dissociation. Cholinergic supersensitivity defined bilateral tonic pupils.
OBSERVATIONS: Neurosyphilis was diagnosed in these patients on the basis of ocular and laboratory findings.
CONCLUSIONS: Bilateral tonic pupils may be important as initial findings in neurosyphilis. We conclude that patients with bilateral tonic pupils should undergo serologic tests for syphilis.
CASES: Four young men had pupillary abnormalities, which involved irregular shapes, large sizes, tonic reactions, and vermiform movements of both pupils with light-near dissociation. Cholinergic supersensitivity defined bilateral tonic pupils.
OBSERVATIONS: Neurosyphilis was diagnosed in these patients on the basis of ocular and laboratory findings.
CONCLUSIONS: Bilateral tonic pupils may be important as initial findings in neurosyphilis. We conclude that patients with bilateral tonic pupils should undergo serologic tests for syphilis.