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Published on: November 12, 2020
Sudden anisocoria in a healing pediatric multitrauma patient
David Shane Harper1, Sarah Bayless
1David Shane Harper is chief PA in the Department of Surgery at Texas Tech University Health Science Center in Amarillo, Tex.; medical director of the surgical ICU at Northwest Texas Hospital in Amarillo, Tex.; a clinical professor at Texas Tech School of Health Professionals in Midland, Tex.; and a tactical medical officer on the Randall County Sheriff's Office SWAT team. At the time this article was written, Sarah Bayless was a medical student at Texas Tech University in Lubbock, Tex., and a second lieutenant in the US Army. She now is a first-year emergency medicine resident at Madigan Army Medical Center on Joint Base Lewis-McChord, Washington. The authors have disclosed no potential conflicts of interest, financial or otherwise.
Abstract:
This article describes a teenager who developed anisocoria with no obvious neurologic deficits or decline after a motor vehicle accident. The condition resolved over several hours before reappearing in the opposite eye 2 days later. Again no clinical neurologic deficits were noted and the condition resolved after several hours. The patient's asymptomatic anisocoria was finally determined to be secondary to aerosolized ipratropium treatments and an ill-fitting mask.
