Intracranial oculomotor nerve paresis with anisocoria and pupillary parasympathetic hypersensitivity.

Abstract:

:Three patients developed anisocoria as a result of third nerve palsies caused by intracranial lesions: two in the cavernous sinus and one in the mesencephalon. Pharmacologic testing using low concentration pilocarpine showed apparent preganglionic parasympathetic supersensitivity of the abnormal pupil. These findings are compatible with the existence of a proposed direct pathway from the midbrain to the eye, without synapse at the ciliary ganglion. Cholinergic hypersensitivity can occur, not only with postciliary ganglionic but also with preciliary ganglionic parasympathetic lesions.

journal_name

Am J Ophthalmol

authors

Slamovits TL,Miller NR,Burde RM

doi

10.1016/0002-9394(87)90231-5

subject

Has Abstract

pub_date

1987-10-15 00:00:00

pages

401-6

issue

4

eissn

0002-9394

issn

1879-1891

pii

0002-9394(87)90231-5

journal_volume

104

pub_type

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