The author has investigated patients suffering from disorders of the pupillary reflexes and of the tendon reflexes of the lower limbs which come under the heading of tonic pupil. Forty-five patients were followed up over a period of 15 years. The tendon reflexes of the lower limbs were recorded graphically and showed a very characteristic retardation of the second phase of the patellar reflex. The aetiopathogenesis of Adie's syndrome is discussed. The pathogenesis of Adie's syndrome has so far not been definitely established. We have merely tried to point out a few of the features which permit its early diagnosis and have drawn attention to the basic problem of the pathogenesis of certain neuro-muscular disorders on the basis of secondary considerations involved in this uncommon syndrome.
作者对患有瞳孔反射和下肢腱反射紊乱（属于紧张性瞳孔范畴）的患者进行了研究。45名患者接受了为期15年的随访。下肢腱反射通过图表记录，显示出髌反射第二阶段非常典型的延迟。文中讨论了阿狄氏综合征的病因发病机制。阿狄氏综合征的发病机制迄今尚未明确确立。我们只是试图指出一些有助于早期诊断的特征，并基于这一罕见综合征所涉及的次要因素，提请关注某些神经肌肉疾病发病机制的基本问题。
