Mydriasis as a falsely localizing sign in epidural hematoma - A case report
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Dosyalar
Tarih
2007
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Lippincott Williams & Wilkins
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Mydriasis in a trauma patient is a neurologic emergency. Pupil dilation can be the result of uncal herniation causing compression of the third cranial nerve and subsequent brain stem compromise. However, not all patients with nonreactive, enlarged pupils have uncal herniation. We report the case of a 33-year-old epileptic man who developed a fixed, dilated contralateral pupil with a left temporoparietal epidural hematoma. He had a Glasgow Coma Score of 4 (eye opening, 1; motor, 2; and verbal, 1). Although a unilateral fixed dilated pupil commonly occurs ipsilateral to a supratentorial mass, it can also be a "false localizing sign." Preoperative computerized tomography scanning is necessary to diagnose the intracranial pathology.
Açıklama
WOS: 000244793500013
Anahtar Kelimeler
false localizing, head injury, mydriasis
Kaynak
Neurosurgery Quarterly
WoS Q Değeri
Q4
Scopus Q Değeri
N/A
Cilt
17
Sayı
1
