Hostname: page-component-586b7cd67f-t8hqh Total loading time: 0 Render date: 2024-11-25T08:13:50.416Z Has data issue: false hasContentIssue false

Pupillary Abnormalities in Congenital Neurosyphilis

Published online by Cambridge University Press:  18 September 2015

M.B.M. Sundaram*
Affiliation:
Department of Clinical Neurological Sciences, University Hospital, Saskatoon
*
Department of Clinical Neurological Sciences, University Hospital, Saskatoon, Saskatchewan, Canada S7N 0X0
Rights & Permissions [Opens in a new window]

Abstract:

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Pupils in congenital neurosyphilis differ from the classic Argyll-Robertson pupil in acquired cases, and often tend to be large and unreactive. Constriction to pilocarpine in the reported patient would suggest that peripheral parasympathetic damage is responsible for such pupillary findings. Congenital neurosyphilis should be included among the causes of “tonic” pupil.

Type
Original Articles
Copyright
Copyright © Canadian Neurological Sciences Federation 1985

References

Harriman, DGF.Garland, H. (1968) The Pathology of Adie’s Syndrome. Brain. 91: 401418.CrossRefGoogle ScholarPubMed
Hotson, JR. (1981) Modern Neurosyphilis: A partially treated chronic meningitis. Western J of Med. 135: 191200.Google ScholarPubMed
Loewenfeld, IE. (1969) The Argyll-Robertson pupil, 1869–1969: A critical survey of the literature. Survey of ophthalmology. 14: 199299.Google ScholarPubMed
Loewenfeld, IE.Thompson, HS. (1967) The tonic pupil: A re-evaluation. Am. J. of Ophth. 63: 4687.CrossRefGoogle ScholarPubMed
Lowenstein, O. (1956). The Argyll-Robertson pupillary syndrome. Am. J. of Ophth. 42: 105121.CrossRefGoogle ScholarPubMed
Merritt, HH.Adam, RD., Soloman, HC. (1946) Neurosyphilis. Chap.9, Congenital neurosypilis, pp. 289319. Oxford University Press, New York.Google Scholar
Selhorst, JB.Madge, G., Ghatak, NR. (1984) The neuropathology of the Holmes-Adie Syndrome (Abstracted). Ann. of Neurol. 16: 138.Google Scholar
Thompson, HS. (1971) Adie’s syndrome: some new observations. Trans. Am. Ophth. Society. 75: 587626.Google Scholar
Ulrich, J. (1980) Morphological basis of Adie’s syndrome. Eur. Neurol. 19: 390395.CrossRefGoogle ScholarPubMed