Abstract
Changes in the size and reactivity of the pupils are among the classic findings in patients suffering from intracranial catastrophes. Observations regarding the pupils were made in antiquity and the importance of such changes has been taught to medical students since well before the development of neurology and neurosurgery as disciplines. More subtle abnormalities of the pupils have not attracted as much attention, and it was not until Kinnear Wilson (1906) published his descriptions of pupillary correctopia and Miller Fisher (1980) described the oval pupil in patients suffering intracranial catastrophes that a broader understanding of more subtle changes in pupillary function emerged.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
References
Fisher CM (1980) Oval Pupils. Arch Neurol 37: 502–503
Iannotti F, Hoff JT, Schielke GP (1985) Brain tissue pressure in focal cerebral ischemia. J Neurosurg 62: 83–89
Jennett WB, Stern WE (1960) Tentorial herniation, the midbrain and the pupil. Experimental studies in brain compression. J Neurosurg 17: 598–609
Kuchiwaki H, Furuse M, Gonda T, Ikeyama A, Kageyama H (1981) Mutual relations between shifting of focal brain structures and intracranial pressure. In: Ishii S, Nagai H, Brock M (eds) Intracranial Pressure V. Springer-Verlag, Berlin Heidelberg New York Tokyo, p 445–451
Marshall LF, Barba D, Toole BM, Bowers SA (1983) The oval pupil: clinical significance and relationship to intracranial pressure. J Neurosurg 58: 566–568
Teasdale G, Galbraith S, Jennett B (1979) Operate or observe? ICP and the management of the ‘silent’ traumatic intracranial haematoma. In: Shulman K, Marmarou A, Miller JD, Becker DP, Hochwald GM and Brock M (eds) Intracranial Pressure I V. Springer-Verlag, Berlin Heidelberg New York
Wilson SAK (1906) Ectopia pupillae in certain mesencephalic lesions. Brain 29: 524–536
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1986 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Marshall, L.F., Cotten, J.M., Bowers-Marshall, S., Seelig, J.M. (1986). Pupillary Abnormalities, Elevated Intracranial Pressure and Mass Lesion Location. In: Miller, J.D., Teasdale, G.M., Rowan, J.O., Galbraith, S.L., Mendelow, A.D. (eds) Intracranial Pressure VI. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-70971-5_125
Download citation
DOI: https://doi.org/10.1007/978-3-642-70971-5_125
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-70973-9
Online ISBN: 978-3-642-70971-5
eBook Packages: Springer Book Archive