Hostname: page-component-cd9895bd7-lnqnp Total loading time: 0 Render date: 2024-12-28T00:50:40.411Z Has data issue: false hasContentIssue false

Pupillary Areactivity in Hydrocephalus of Recent Onset

Published online by Cambridge University Press:  18 September 2015

Dan Boghen*
Affiliation:
neuro-ophthalmology section of the neurology unit of the Hôtel-Dieu de Montréal Hospital and the Faculty of Medicine, Université de Montréal, Montreal
Maryam Aroichane
Affiliation:
neuro-ophthalmology section of the neurology unit of the Hôtel-Dieu de Montréal Hospital and the Faculty of Medicine, Université de Montréal, Montreal
*
Neurology Unit, Hôtel-Dieu de Montréal Hospital, 3840 St-Urbain Street, Montreal, Quebec, Canada H2W 1T8
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.

A patient who presented with bilateral loss of all pupillary reactions and normal ocular motor function is reported. Investigation revealed the presence of massive hydrocephalus. The syndrome developed shortly after transsphenoidal surgery for a suprasellar craniopharyngioma. Pupillary function returned to normal following the insertion of a ventriculo-peritoneal shunt. It is suggested that the syndrome was due to compression of the visceral oculomotor nuclei by a dilated sylvian aqueduct.

Type
Articles
Copyright
Copyright © Canadian Neurological Sciences Federation 1991

References

REFERENCES

1.Freeman, JW, Cox, TA, Batnitzky, S, et al. Craniopharyngioma simulating bilateral internal ophthalmoplegia. Arch Neurol 1980; 37: 175176.CrossRefGoogle ScholarPubMed
2.Shallat, RF, Pawl, RP, Jerva, MJ. Significance of upward gaze palsy (Parinaud’s syndrome) in hydrocephalus due to shunt malfunction. J Neurosurg 1973; 38: 717722.CrossRefGoogle ScholarPubMed
3.Swash, M. Periaqueductal dysfunction (the sylvian aqueduct syndrome): a sign of hydrocephalus? J Neurol Neurosurg Psychiatry 1974; 37: 2126.CrossRefGoogle ScholarPubMed
4.Chattha, AS, Delong, R. Sylvian aqueduct syndrome as a sign of acute obstructive hydrocephalus in children. J Neurol Neurosurg Psychiatry 1975; 38: 288296.CrossRefGoogle ScholarPubMed
5.Keane, JR. The pretectal syndrome: 206 patients. Neurology 1990; 40: 684690.CrossRefGoogle ScholarPubMed
6.Miller, NR. Walsh and Hoyt’s Clinical Neuro-ophthalmology. 4th edition, vol. 2, Baltimore: Williams and Wilkins, 1985: 486and717.Google Scholar
7.Burde, RM. The visceral nuclei of the oculomotor complex. Trans Am Ophthalmol Soc 1983; 81: 532548.Google ScholarPubMed