Neglected cause of anisocoria – unilateral mydriasis

Czech version

Authors: M. Bílská ^1,2; R. Škulec ^1,3,4,5; D. Ospalík ⁶; B. Koulová ¹; X. Waicová ^1,2; V. Černý ^1,5,7,8
Authors‘ workplace: Klinika anesteziologie, perioperační a intenzivní medicíny, Univerzita J. E. Purkyně v Ústí nad Labem, Masarykova, nemocnice v Ústí nad Labem ¹; Zdravotnická záchranná služba Ústeckého kraje, Ústí nad Labem ²; Zdravotnická záchranná služba Středočeského kraje, Kladno ³; Klinika anesteziologie, resuscitace a intenzivní medicíny, Univerzita Karlova, Lékařská fakulta v Hradci Králové, Fakultní nemocnice Hradec Králové ⁴; Fakulta zdravotnických studií, Univerzita J. E. Purkyně v Ústí nad Labem ⁵; Neurologické oddělení, Masarykova nemocnice v Ústí nad Labem ⁶; Centrum pro výzkum a vývoj, Fakultní nemocnice Hradec Králové ⁷; Department of Anesthesia, Pain Management and Perioperative Medicine, Dalhousie University, Halifax, Canada ⁸
Published in: Anest. intenziv. Med., 31, 2020, č. 3, s. 124-126
Category: Case Reports

Overview

Sudden anisocoria is an emerging neurological symptom. However, some causes are transient and benign. The authors present two cases of unilateral mydriasis, which evolved as an adverse local effect of nebulization treatment with ipratropium. Due to the frequency of administration of ipratropium in emergency and intensive care medicine, this may be a common but rarely noted complication. Consistent clinical neurological examination and comprehensive consideration of patient treatment can be helpful to avoid further unnecessary burdensome examinations.

Keywords:

anisocoria – inhalation administration – ipratropium

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