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27 Possible Causes for Pupillary Abnormality, Stupor, Thoracic Aortic Dissection

  • Epidural Hematoma

    After about ten minutes, he regained consciousness, but he soon became lethargic, and over the next two hours, he was stuporous[4]. His pupils were unequal[5].[] Factors that may influence outcome are as follows: Patient age Time lapsed between injury and treatment Immediate coma or lucid interval Presence of pupillary abnormalities[] An initial diagnosis of aortic dissection with an ischaemic paraplegia was made.[]

  • Subarachnoid Hemorrhage

    Managing raised ICP- cont. • Patients who are stuporous should undergo emergent ventriculostomy to measure ICP and to treat high ICP in order to prevent cerebral ischemia.[] KEYWORDS: Acute aortic dissection; Aneurysm; computed tomography angiography; subarachnoid hemorrhage[] […] nuchal rigidity Grade 2 – severe headache, stiff neck, no neurologic deficit except cranial nerve palsy Grade 3 – drowsy or confused, mild focal neurologic deficit Grade 4 – stuporous[]

  • Cocaine Abuse

    The case in point pertains to a 26-year-old, Caucasian male, substance abuser who suffered a thoracic aortic dissection following the use of crack cocaine.[] Cardiovascular complications of cocaine abuse include myocardial ischemia and infarction, dysrhythmias, cardiomyopathies and aortic dissection.[]

  • Stroke

    […] or veering Coordination problems in the arms and hands Slurred speech or inability to speak Sudden deviation of the eyes toward one direction Seizures Irregular breathing Stupor[] The authors showed that in patients with MCI, pupillary abnormalities and severe brainstem compression may be present despite normal ICP values.[] Autosomal dominant inheritance of a predisposition to thoracic aortic aneurysms and dissections and intracranial saccular aneurysms.[]

  • Vertebrobasilar Insufficiency

    Also common are pupillary and oculomotor abnormalities.[] Power 39 Endovascular Management of Thoracic Aortic Aneurysms and Dissections, 504 Donald T. Baril and Michel S.[] Common findings: Abnormal level of consciousness. Hemiparesis or quadriparesis (usually asymmetrical).[]

  • Aneurysm

    […] rigidity (neck stiffness) Moderate to severe headache, nuchal rigidity, cranial nerve palsy, no other neurological deficit Drowsiness / confusion, mild focal neurologic deficit Stupor[] These findings include the following: Aneurysmal SAH: May be accompanied by nuchal rigidity, decreased level of consciousness, subhyaloid hemorrhages, pupillary abnormalities[] What is thoracic aortic aneurysm and dissection?[]

  • Familial Congenital Palsy of Trochlear Nerve

    Aura Palinopsia Release Hallucinations Visual Neglect Midbrain Infarct Hemorrhage Pons Infarct Hemorrhage Hypoxia Medulla Infarct Hemorrhage Cerebellum Chiari Malformation Stupor[] Abnormal pupillary shape The human pupil should be round.[] aortic aneurysm and aortic dissection Moyamoya disease Omenn syndrome T-B severe combined immunodeficiency due to IL-7Ralpha deficiency[]

  • Syphilis

    Agitation or stupor and stroke-like neurological symptoms including hemiplegia, aphasia, or seizures, are also usually present.[] On examination there was a sluggish right pupillary response but no other abnormal findings. Serum and CSF syphilis serology were both strongly positive.[] One patient presented with eye pain, double vision, dizziness, and headache;(13) 2 weeks later, he was found in a stuporous state with a hemiparesis, homonymous hemianopsia[]

  • Posterior Cerebral Artery Thrombosis

    Seven days after the first MR studies, she was found to be standing in stuporous state in the shower room.[] Emboli may lodge at the top of the basilar causing midbrain infarction with loss of vertical eye movement, pupillary abnormalities and coma.[] The most common cause of IA disease is atherosclerosis followed by Takayasu’s arteritis, dissection, thoracic outlet syndrome, radiotherapy-induced supra-aortic stem disease[]

  • Berry Aneurysm

    Confusion and/or stupor. Seizures . Sudden mood swings (impulsivity, irritability, poor temper control). Dysarthria (speech impediment).[] abnormalities Mortality from the first rupture is between 25-50% with repeat bleeding a common complication in survivors.[] It usually affects the thoracic aorta (see aortic dissection ) but can also occur in other large arteries.[]

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