Pupillary Abnormalities, Elevated Intracranial Pressure and Mass Lesion Location
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.
KeywordsMass Lesion Elevated Intracranial Pressure Diffuse Brain Brain Stem Infarction Pupillary Function
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- Jennett WB, Stern WE (1960) Tentorial herniation, the midbrain and the pupil. Experimental studies in brain compression. J Neurosurg 17: 598–609Google Scholar
- 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 445–451Google Scholar
- 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 YorkGoogle Scholar