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Transient anisocoria after a traumatic cervical spinal cord injury: A case report.

Authors
  • Overdorf, Paul Jr1
  • Farkas, Gary J1
  • Romanoski, Natasha1
  • 1 Department of Physical Medicine and Rehabilitation, Penn State Health Milton S. Hershey Medical Center, Hershey, Pennsylvania, USA.
Type
Published Article
Journal
The journal of spinal cord medicine
Publication Date
May 01, 2020
Volume
43
Issue
3
Pages
398–401
Identifiers
DOI: 10.1080/10790268.2018.1509532
PMID: 30124383
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Context: Autonomic dysreflexia and dysautonomia can be a common complication following spinal cord injury, especially at levels of T6 and above and can lead to complications associated with the pupil. In this case report, we review autonomic dysreflexia, the anatomy and physiology of the sympathetic nervous system of the eye, as well as review the clinical relevance in understanding autonomic and pupillary changes in response to autonomic dysfunction.Findings: We present a patient with an incomplete C4 level injury who was found to have isolated anisocoria on two separate occasions during his acute inpatient rehabilitation stay.Conclusion/Clinical Relevance: Anisocoria associated with abnormal sympathetic activation may be a clinical sign of dysautonomia.

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