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Acute-onset anisocoria should be considered a medical emergency. These cases may be due to brain mass lesions , which cause oculomotor nerve palsy. Anisocoria in the presence of confusion, decreased mental status , severe headache, or other neurological symptoms can forewarn a neurosurgical emergency.
Physiological anisocoria is when human pupils differ in size. It is generally considered to be benign, though it must be distinguished from congenital Horner's syndrome , pharmacological dilatation, or other conditions connected to the sympathetic nervous system . [ 1 ]
Kernohan's notch is a cerebral peduncle indentation associated with some forms of transtentorial herniation (uncal herniation). [1] [2] It is a secondary condition caused by a primary injury on the opposite hemisphere of the brain. [3]
Oculogyric crisis (OGC) is a rare sudden, paroxysmal, dystonic reaction that may manifest in response to specific drugs, particularly neuroleptics, or medical conditions, such as movement disorders. This neurological phenomenon is characterized by a sustained dystonic, conjugate , involuntary upward deviation of both eyes lasting seconds to hours.
In medicine, describing a disease as acute denotes that it is of recent onset; it occasionally denotes a short duration.The quantification of how much time constitutes "short" and "recent" varies by disease and by context, but the core denotation of "acute" is always qualitatively in contrast with "chronic", which denotes long-lasting disease (for example, in acute leukaemia and chronic ...
A microsleep is a sudden temporary episode of sleep or drowsiness which may last for a few seconds where an individual fails to respond to some arbitrary sensory input and becomes unconscious. [ 1 ] [ 2 ] Episodes of microsleep occur when an individual loses and regains awareness after a brief lapse in consciousness, often without warning, or ...
Sudden onset hypertropia in a middle aged or elderly adult may be due to compression of the trochlear nerve and mass effect from a tumor, requiring urgent brain imaging using MRI to localise any space occupying lesion. It could also be due to infarction of blood vessels supplying the nerve, due to diabetes and atherosclerosis.
They remain distressed and inconsolable despite all parental efforts. Paradoxically, parental efforts can rather increase agitation of the child. The onset of symptoms is usually within 2 and 3 hours of sleep onset (at the time of transition from slow-wave sleep to a lighter sleep stage) and those events can last from 10 to 30 minutes. Patients ...