Drouet A, De Carvalho A, Mage F, Guilloton L, Felten D
Service de Neurologie, Hôpital d'Instruction des Armées Desgenettes, Lyon.
J Fr Ophtalmol. 2008 Feb;31(2):e5. doi: 10.1016/s0181-5512(08)70353-x.
Adie s tonic pupil is defined as a dilated pupil, constricting poorly to light and exhibiting light-near dissociation.
The authors report an 18-year-old woman diagnosed with transient bilateral Adie's tonic pupil during a migraine attack. Work-up including neuroiaeaging disclosed no underlying detectable abnormalities.
The association between tonic pupil and migraine is rarely reported. This type of transient mydriasis could result from postganglionic parasympathetic dysfunction, affecting the iris sphincter. This situation is different from the heterogeneous group with benign episodic unilateral mydriasis.
Transient Adie's tonic pupil may be associated with migraine attacks. This association should be known to avoid unnecessary examinations.
阿-罗氏强直性瞳孔定义为瞳孔散大，对光反应迟钝，呈现光近反射分离。
作者报告了一名18岁女性，在偏头痛发作期间被诊断为短暂性双侧阿-罗氏强直性瞳孔。包括神经影像学检查在内的各项检查均未发现潜在的可检测到的异常。
强直性瞳孔与偏头痛之间的关联鲜有报道。这种类型的短暂性瞳孔散大可能是由于节后副交感神经功能障碍，影响虹膜括约肌所致。这种情况与良性发作性单侧瞳孔散大的异质性群体不同。
短暂性阿-罗氏强直性瞳孔可能与偏头痛发作有关。应了解这种关联以避免不必要的检查。
