Bilateral tonic pupil during a migraine attack: a case report.

Authors

DOI:

https://doi.org/10.48208/HeadacheMed.2024.8

Keywords:

Adie pupil, Mydriasis, Migraine, Tonic pupil

Abstract

Tonic pupil or Adie's pupil occurs due to parasympathetic denervation, and it is characterized by mydriasis with little or no response to light, with pupillary contraction to accommodation. It is caused by eye pathologies, such as infections, trauma, neoplasms, inflammatory diseases, and systemic diseases with autonomic dysfunction. Few cases have been reported of bilateral tonic pupils associated with migraine attacks. Our aimed to describe the case of a young female patient with a history of chronic migraine without aura, who presented acutely with bilateral pupillary mydriasis during a migraine attack, characterized as tonic pupil, and to discuss the possible causes of mydriasis during a migraine attack.

Downloads

Download data is not yet available.

References

Xu SY, Song MM, Li L, Li CX. Adie's Pupil: A Diagnostic Challenge for the Physician. Med Sci Monit. 2022 Mar 8;28:e934657. doi: 10.12659/MSM.934657. PMID: 35304432; PMCID: PMC8917782 DOI: https://doi.org/10.12659/MSM.934657

Sakai T, Shikishima K, Mizobuchi T, Yoshida M, Kitahara K. Bilateral tonic pupils associated with neurosyphilis. Jpn J Ophthalmol. 2003 Jul-Aug;47(4):368-71. doi: 10.1016/s0021-5155(03)00058-3. PMID: 12842205 DOI: https://doi.org/10.1016/S0021-5155(03)00058-3

Bachmeyer C, Zuber M, Dupont S, Blanche P, Dhôte R, Mas JL. Adie syndrome as the initial sign of primary Sjögren syndrome. Am J Ophthalmol. 1997 May;123(5):691-2. doi: 10.1016/s0002-9394(14)71084-0 DOI: https://doi.org/10.1016/S0002-9394(14)71084-0

Woods D, O'Connor PS, Fleming R. Episodic unilateral mydriasis and migraine. Am J Ophthalmol. 1984 Aug 15;98(2):229-34. doi: 10.1016/0002-9394(87)90359-x DOI: https://doi.org/10.1016/0002-9394(87)90359-X

Purvin VA. Adie's tonic pupil secondary to migraine. J Neuroophthalmol. 1995 Mar;15(1):43-4 DOI: https://doi.org/10.1097/00041327-199503000-00010

Massey EW. Pupillary dysautonomia and migraine: is Adie's pupil caused by migraine? Headache. 1981 Jul;21(4):143-6. doi: 10.1111/j.1526-4610.1981.hed2104143.x DOI: https://doi.org/10.1111/j.1526-4610.1981.hed2104143.x

Iannetti P, Spalice A, Iannetti L, Verrotti A, Parisi P. Residual and persistent Adie's pupil after pediatric ophthalmoplegic migraine. Pediatr Neurol. 2009 Sep;41(3):204-6. doi: 10.1016/j.pediatrneurol.2009.03.019 DOI: https://doi.org/10.1016/j.pediatrneurol.2009.03.019

Jacome DE. Status Migrainosus and Adie's syndrome. Headache. 2002 Sep;42(8):793-5. doi: 10.1046/j.1526-4610.2002.02182.x DOI: https://doi.org/10.1046/j.1526-4610.2002.02182.x

Mylius V, Braune HJ, Schepelmann K. Dysfunction of the pupillary light reflex following migraine headache. Clin Auton Res. 2003 Feb;13(1):16-21. doi: 10.1007/s10286-003-0065-y DOI: https://doi.org/10.1007/s10286-003-0065-y

Barriga FJ, López de Silanes C, Gili P, Pareja JA. Ciliary ganglioplegic migraine: migraine-related prolonged mydriasis. Cephalalgia. 2011 Feb;31(3):291-5. doi: 10.1177/0333102410381144. Epub 2010 Sep 16 DOI: https://doi.org/10.1177/0333102410381144

Domingues RB, Fonseca KB, Ziviane LF, Domingues SA, Vassalo D. Altered cardiovascular reactivity to mental stress but not to cold pressure test in migraine. Headache. 2010;50(1):133-137. doi:10.1111/j.1526-4610.2009.01567.x DOI: https://doi.org/10.1111/j.1526-4610.2009.01567.x

Downloads

Published

2024-03-28

How to Cite

1.
Storarri ACM, Higa Lee AA, Renan D. Bilateral tonic pupil during a migraine attack: a case report. . Headache Med [Internet]. 2024 Mar. 28 [cited 2024 Apr. 27];15(1):32-4. Available from: https://www.headachemedicine.com.br/index.php/hm/article/view/1035

Issue

Section

Case Report

Most read articles by the same author(s)