[Cessation of anesthesia after newly occurring anisocoria without light reflexes].

Abstract

Anisocoria during general anaesthesia is rare. The combination of anisocoria and absence of any reaction to light is highly suspicious of an intracerebral lesion. This article reports the case of a patient with known Adie's syndrome where anisocoria led to an unnecessary immediate interruption of anesthesia. A preoperative examination, including inspection of the pupils, frequent perioperative check ups and documentation of diagnostic findings, even if negative, has to be standard for every anesthesia.

• Authors: A Hemping-Bovenkerk, K Frerker, S Gurlit, M Möllmann
• Journal: Der Anaesthesist (Anaesthesist) Vol. 61 Issue 9 Pg. 789-91 (Sep 2012) ISSN: 1432-055X [Electronic] Germany
• Vernacular Title: Abbruch der Anästhesie bei neu aufgetretener Anisokorie mit fehlenden Lichtreflexen.
• PMID: 22965183 (Publication Type: Case Reports, English Abstract, Journal Article)

Topics

• Anesthesia (adverse effects)
• Anisocoria (diagnosis, etiology)
• Breast Neoplasms (surgery)
• Female
• Humans
• Middle Aged
• Monitoring, Intraoperative
• Mydriasis (etiology)
• Preoperative Care
• Reflex, Pupillary (drug effects)
• Tonic Pupil (complications, diagnosis)