Gadoth N, Margalith D, Bechar M
J Neurol. 1981;225(3):227-30. doi: 10.1007/BF00313753.
Pupillary dilatation was observed in a young boy who had a sudden onset of right focal seizures. Clinical and laboratory investigation revealed the presence of a benign left frontal epileptic focus. Lacking signs of third cranial nerve compression, this transient pupillary abnormality could be caused by the contralateral frontal epileptic focus. Such a focus might inhibit dilatation of the homolateral pupil, thus permitting dilatation of the contralateral pupil only. Unilateral mydriasis as described hereby could also represent a pupillary "Todd's Paralysis" caused by the contralateral frontal epileptic focus.
在一名突然发作右侧局灶性癫痫的小男孩中观察到瞳孔散大。临床和实验室检查发现存在左侧额叶良性癫痫病灶。由于缺乏动眼神经受压的体征，这种短暂性瞳孔异常可能是由对侧额叶癫痫病灶引起的。这样的病灶可能抑制同侧瞳孔的散大，从而仅允许对侧瞳孔散大。此处描述的单侧瞳孔散大也可能代表由对侧额叶癫痫病灶引起的瞳孔“托德麻痹”。
