Téma: Case studies

Ultrasound examination of the pupil suggestive for carotid dissection

Filippo Farina, Cornelia Brunne, Stephan J. Schreiber, Anna Palmieri, Walter Struhal, Claudio Baracchini, Milan R. Vosko

Background
Pupillary testing is a basic part of the neurological examination,
but in subtle clinical presentation can be challenging. We
present the case of a 51 y old men, migraneurs, who presented
to emergency department due to persistent right cervical pain.
Neurological status was unremarkable except for slight ptosis on
the right side, but no anisocoria was reported. CT scan and intra/
extracranial ultrasound assessment were normal.

Objectives
Test the pupillary reaction through ultrasound examination in
a suspected case of carotid dissection.

Methods
Each pupil was visualized with a linear probe positioned on
the lower eyelid. After clear B mode visualization, the pupillary
diameters (PD) and pupillary constriction time (PCT) were

Ročník 2018  Témy časopisu Neurology 3 / 2018

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