Hemping-Bovenkerk A, Frerker K, Gurlit S, Möllmann M
Klinik für Anästhesie und operative Intensivmedizin, St. Franziskus Hospital Münster GmbH, Hohenzollernring 72, 48145 Münster, Deutschland.
Anaesthesist. 2012 Sep;61(9):789-91. doi: 10.1007/s00101-012-2079-0. Epub 2012 Sep 12.
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.
全身麻醉期间出现瞳孔不等大的情况较为罕见。瞳孔不等大且对光无任何反应高度怀疑存在脑内病变。本文报告了一例已知患有阿狄瞳孔综合征的患者，其瞳孔不等大导致麻醉被不必要地立即中断。术前检查，包括瞳孔检查、围手术期频繁检查以及记录诊断结果，即使结果为阴性，也应成为每次麻醉的标准操作。
