Abnormal pupillary activity in a brainstem-dead patient.
The pupils in brainstem-dead patients are classically fixed and dilated. We present a case of a brainstem-dead patient whose pupils displayed persistent asynchronous pupillary constriction and dilatation independent of external physical stimuli. Central causes for the phenomenon were excluded leavin...
Main Authors: | , , , |
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Format: | Journal article |
Language: | English |
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2001
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author | Shlugman, D Parulekar, M Elston, J Farmery, A |
author_facet | Shlugman, D Parulekar, M Elston, J Farmery, A |
author_sort | Shlugman, D |
collection | OXFORD |
description | The pupils in brainstem-dead patients are classically fixed and dilated. We present a case of a brainstem-dead patient whose pupils displayed persistent asynchronous pupillary constriction and dilatation independent of external physical stimuli. Central causes for the phenomenon were excluded leaving an unexplained peripheral cause as the most likely explanation. Early recognition of this phenomenon prevents delay in the diagnosis of brainstem death, lessening to some extent the distress for the family, and facilitating earlier organ donation and allowing the better use of resources. |
first_indexed | 2024-03-06T18:18:09Z |
format | Journal article |
id | oxford-uuid:0557ed75-67f0-4c8c-bd19-6eef368f493c |
institution | University of Oxford |
language | English |
last_indexed | 2024-03-06T18:18:09Z |
publishDate | 2001 |
record_format | dspace |
spelling | oxford-uuid:0557ed75-67f0-4c8c-bd19-6eef368f493c2022-03-26T08:56:33ZAbnormal pupillary activity in a brainstem-dead patient.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:0557ed75-67f0-4c8c-bd19-6eef368f493cEnglishSymplectic Elements at Oxford2001Shlugman, DParulekar, MElston, JFarmery, AThe pupils in brainstem-dead patients are classically fixed and dilated. We present a case of a brainstem-dead patient whose pupils displayed persistent asynchronous pupillary constriction and dilatation independent of external physical stimuli. Central causes for the phenomenon were excluded leaving an unexplained peripheral cause as the most likely explanation. Early recognition of this phenomenon prevents delay in the diagnosis of brainstem death, lessening to some extent the distress for the family, and facilitating earlier organ donation and allowing the better use of resources. |
spellingShingle | Shlugman, D Parulekar, M Elston, J Farmery, A Abnormal pupillary activity in a brainstem-dead patient. |
title | Abnormal pupillary activity in a brainstem-dead patient. |
title_full | Abnormal pupillary activity in a brainstem-dead patient. |
title_fullStr | Abnormal pupillary activity in a brainstem-dead patient. |
title_full_unstemmed | Abnormal pupillary activity in a brainstem-dead patient. |
title_short | Abnormal pupillary activity in a brainstem-dead patient. |
title_sort | abnormal pupillary activity in a brainstem dead patient |
work_keys_str_mv | AT shlugmand abnormalpupillaryactivityinabrainstemdeadpatient AT parulekarm abnormalpupillaryactivityinabrainstemdeadpatient AT elstonj abnormalpupillaryactivityinabrainstemdeadpatient AT farmerya abnormalpupillaryactivityinabrainstemdeadpatient |