Two Cases of Holmes-Adie Syndrome.
- Author:
Sang Won YI
1
;
Sung Min YOON
;
Kwang Soo KIM
;
Kyung Mu YOO
Author Information
1. Department of Neurology, Kosin Medical College.
- Publication Type:Case Report
- Keywords:
Holmes-Adie syndrome;
Pilocarpine;
H-reflex
- MeSH:
Adie Syndrome*;
Adult;
Evoked Potentials, Somatosensory;
Female;
H-Reflex;
Humans;
Mydriasis;
Pilocarpine;
Pupil;
Reference Values;
Reflex;
Tonic Pupil
- From:Journal of the Korean Neurological Association
1998;16(4):582-584
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Adie's tonic pupil consists of mydriasis, accommodation defect, decreased light reflex, and tonic near reflex. When tonic pupil is combined with hypo- or areflexia, it is called Holmes-Adie syndrome. CASE: Fifty-two-year-old and 37-year-old female patients showed unilateral dilated irregular pupil, decreased light reflex, and decreased or absent DTR. When 0.125% pilocarpine was dropped on the dilated pupil, the pupil was constricted after pilocarpine application. Somatosensory evoked potentials were within normal ranges, and H-reflex responses were absent or delayed.
