Dacso C C, Bortz D L
Department of Medicine, Veterans Administration Medical Center, San Diego, California 92161.
Am J Med. 1989 Feb;86(2):199-202. doi: 10.1016/0002-9343(89)90269-6.
The Argyll Robertson pupil, a miotic pupil that fails to react to direct light, has been described for more than a century. Originally associated with tabes dorsalis, the sign has now been found in a number of conditions with lesions in the area of the nucleus of Edinger-Westphal. Magnetic resonance imaging studies have localized the lesion in patients with sarcoidosis and multiple sclerosis. With the declining incidence of neurosyphilis, the sign is increasingly likely to indicate another cause, although an assiduous search for lues should also be undertaken.
阿盖尔·罗伯逊瞳孔，即一种对直接光反射无反应的缩瞳，已被描述了一个多世纪。该体征最初与脊髓痨相关，现在已在许多动眼神经核区域有病变的病症中被发现。磁共振成像研究已将结节病和多发性硬化症患者的病变定位。随着神经梅毒发病率的下降，该体征越来越可能提示其他病因，尽管也应认真排查梅毒。
