Rempf C, Helmke K, Gottschalk A, Farokhzad F, Burmeister M A
Department of Anaesthesiology, Intensive Care Medicine and Pain Therapy, Knappschaftskrankenhaus Bochum Langendreer, University hospital, Bochum, Germany.
Acta Anaesthesiol Scand. 2008 Feb;52(2):307-9. doi: 10.1111/j.1399-6576.2007.01505.x. Epub 2007 Nov 13.
Anisocoria during anaesthesia may indicate a serious neurological condition. Assessment by physical examination and diagnostic imaging is limited during surgery and anaesthesia. We report a case of a boy undergoing renal transplantation, who suffered from anisocoria during general anaesthesia. A transcranial sonography was performed, showing no intracranial pathology. However, retinal hypoperfusion detected with orbital doppler sonography was a plausible explanation for anisocoria.
麻醉期间出现瞳孔不等大可能提示严重的神经系统疾病。在手术和麻醉过程中，通过体格检查和诊断性影像学进行评估存在局限性。我们报告一例接受肾移植的男孩，其在全身麻醉期间出现瞳孔不等大。进行了经颅超声检查，未发现颅内病变。然而，眼眶多普勒超声检查发现的视网膜灌注不足可能是瞳孔不等大的合理原因。
