Acute pupillary change in traumatic brain injury: diagnostic and therapeutic approach according to the pediatric advanced life support guidelines (PALS)
DOI:
https://doi.org/10.47464/MetroCiencia/vol29/2/2021/45-50Keywords:
Anisocoria, acute brain injury, intracranial hypertension, eye trauma, optic nerve, third cranial nerveAbstract
Anisocoria is one of the signs of intracranial hypertension after acute brain injury; its interpretation and management are the key for recovery and prognosis. However, the differential diagnosis must include other extra-cerebral lesions in which the mechanism, diagnosis, and treatment are different.
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References
Vela, A. Semiología de la anisocoria, Universidad de la Salle, 2017.
Fernández M. Neurología. (2ª ed.). Buenos Aires, Argentina. Panamericana S.A. 2010.
Kochanek, Patrick M., et al. Guidelines for the Management of Pediatric Severe Traumatic Brain Injury, Third Edition: Update of the Brain Trauma Foundation Guidelines, Pediatr. Crit. Care Med. 2019; 20: S1–S82.
Nogales J, et. Tratado de neurología clínica. Santiago de Chile. Universitaria, S.A (2005)
Shannon, F. Diagnosis of elevated intracranial pressure in critically ill adults: systematic review and meta-analysis, BMJ 2019;366: l4225
Urtubia C. Neurobiología de la visión. 2da ed. Barcelona, España (2005).
Cruz, Alain et al. El examen de las pupilas en el neuromonitoreo clínico del paciente con trauma craneoencefálico.
Edward J. Atkins. Post-Traumatic Visual Loss, Rev Neurol Dis. 2008 Spring; 5(2): 73–81.
Ing. E, Ing. T, Ing. S. Medición del tamaño de la pupila con la pantalla de video de un autorrefractor de infrarrojos. Can J Ophthalmol. 2001 abril 36 (3): 145-6
Ford RL, Lee V, Xing W, Bunce C. A 2-year prospective surveillance of pediatric traumatic optic neuropathy in the United Kingdom. J AAPOS. 2012 Oct. 16(5):413.
Yu-Wai-Man, Patrick, et al. Traumatic optic neuropathy—Clinical features and management issues, Taiwan J Ophthalmol. 2015 Jan-Mar; 5(1): 3–8.
Levin, LA, et al. The treatment of traumatic optic neuropathy: The International Optic Nerve Trauma Study, Ophthalmology, 1999 Jul;106(7):1268-77.
Bracken MB, et al. Steroids and spinal cord injury: revisiting the NASCIS 2 and NASCIS 3 trials, J Trauma, 1998 Dec;45(6):1088-93.
Yu-Wai-Man P, Griffiths PG. Surgery for traumatic optic neuropathy. Cochrane Database Syst Rev. 2013 Jun 18. 6:CD005024.
Pokharel, S, et al. Visual Outcome after Treatment with High Dose Intravenous Methylprednisolone in Indirect Traumatic Optic Neuropathy, J Nepal Health Res Counc. 2016 Jan;14(32):1-6.
Ropposch, Thorsten. The effect of steroids in combination with optic nerve decompression surgery in traumatic optic neuropathy, Laryngoscope, 2013 May;123(5):1082-6
Ryan S Jackson. Traumatic Optic Neuropathy Treatment & Management, Medscape, pdated: Aug 07, 2020.
Steinsapir KD. Treatment of traumatic optic neuropathy with high-dose corticosteroid. J Neuroophthalmol. 2006 Mar. 26(1):65-7.
Wu N, Yin ZQ, Wang Y. Traumatic optic neuropathy therapy: an update of clinical and experimental studies. J Int Med Res. 2008 Sep-Oct. 36(5):883-9.
Yu-Wai-Man P, Griffiths P. Steroids for traumatic optic neuropathy. Cochrane Database Syst Rev. 2007. (4):CD006032
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Copyright (c) 2021 Alexandra Vicente, Patricia Acosta, Santiago Pinargote, Danilo Pasternak, Lizardo Jiménez, Santiago Vallejo, Mariana Figueroa, Rocío Yerovi
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