Holmes-Adie syndrome. Clinical case
Rodríguez-Barrionuevo, A.C.; Herrero-Hernández, A.; Vázquez-Martín, L.
Revista de Neurologia 27(160): 1019-1020
1998
ISSN/ISBN: 0210-0010 PMID: 9951029 Document Number: 486370
The Adie tonic pupil is an intrinsic, isolated and benign ophthalmoplegia producing defective accommodation and anisocoria. The affectation is unilateral in the 90% of cases and can appear at any age. If associated to patellar tendinous reflexes abolition, constitutes Holmes-Adie syndrome. We present a 6 years old girl. She suffered a right temporal trauma with cephalea and vomiting for a few hours. After two months, she presented right mydriasis. There were no familiar antecedents. After a year evolution, she has not presented clinical changes. We comment the process's physiopathology.