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TONIC PUPILS AND ABSENT TENDON REFLEXES: A BENIGN DISORDER SUI GENERIS; ITS COMPLETE AND INCOMPLETE FORMS

TONIC PUPILS AND ABSENT TENDON REFLEXES: A BENIGN DISORDER SUI GENERIS; ITS COMPLETE AND... Abstract Every experienced neurologist has seen a few patients with absence of the tendon reflexes for which no cause could be found. Acting on the suggestion of Dr. James Collier, I mention these cases here and submit that some of them are incomplete examples of this disorder. For proof I await a case in which a tonic pupil appears under observation. If my views are correct the disorder I am describing may manifest itself in the folowing forms:— (1) The complete from —typical tonic pupil and absence of reflexes. (2) Incomplete forms: (a) tonic pupil alone; (b) atypical phases of the tonic pupil alone ("iridoplegia"; "internal ophthalmoplegia"); (c) atypical phases of the tonic pupil with absent reflexes; (d) absent reflexes alone. The Tonic Pupil. In its most characteristic form the tonic pupil is usually unilateral and almost always larger than its normal fellow; it is never miotic. References 1. ADIE, W.J. Brit. Med. Journ. , 1931, 1, 928. 2. Idem Ibid., 1931, 2, 136. 3. AXENFELD, T. Klin. Monatsschr. f. Augenheilk. , 1919, 62, 59. 4. BARKAN, O. Arch. f. Augenheilk. , 1921, 87, 189. 5. BEHR, C. Klin. Monatsschr. f. Augenheilk. , 1921, 66, 770. 6. BRAMWELL, E., and SINCLAIR, Scott. Med. and Surg. Journ. , 1906, 526. 7. DIMMER, F. Klin. Monatsschr. f. Augenheilk. , 1911, 49, 332. 8. DOMARUS, A. Münch. Med. Woch. , 1919, 66, 987. 9. GEHRCKE, Neur. Centralbl. , 1921, 40, 93. 10. JESS, A. Klin, Monatsschr. f. Augenheilk , 1920, 64, 114. 11. LERPERGER, O. Ibid., 1914, 53, 241. 12. MARCUS, C. Trans. of the Ophth. Soc. of the U.K. , 1906, 21, 50. 13. MOORE, F. Ibid., 1924, 44, 38. 14. Idem. Ibid., 1931, 51, 203. 15. MORGAN, G. and SYMONDS, C.P. Guy's Hosp. Rep. , 1927, 77, 13. 16. Idem. Trans. Roy. Soc. of Med. , 1931, 768. 17. NONNE. Neur. Centralbl. , 1902, 21, 1000. 18. OLOFF, H.: Klin. Monatsschr. f. Augenheilk. , 1914, 53, 493. 19. REITCH, W. Ibid., 1925, 74, 159. 20. SAENGER, A. Neurolog. Centralbl. , 1902, 21, 837. 21. STRASBURGER, J. Ibid., 1902, 21, 738. 22. WEILL, G., and REYS, L. Rev. d'oto-neuro-oculist. , 1926, 4, 433. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology American Medical Association

TONIC PUPILS AND ABSENT TENDON REFLEXES: A BENIGN DISORDER SUI GENERIS; ITS COMPLETE AND INCOMPLETE FORMS

Archives of Neurology , Volume 18 (6) – Jun 1, 1968

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Publisher
American Medical Association
Copyright
Copyright © 1968 American Medical Association. All Rights Reserved.
ISSN
0003-9942
eISSN
1538-3687
DOI
10.1001/archneur.1968.00470360132016
Publisher site
See Article on Publisher Site

Abstract

Abstract Every experienced neurologist has seen a few patients with absence of the tendon reflexes for which no cause could be found. Acting on the suggestion of Dr. James Collier, I mention these cases here and submit that some of them are incomplete examples of this disorder. For proof I await a case in which a tonic pupil appears under observation. If my views are correct the disorder I am describing may manifest itself in the folowing forms:— (1) The complete from —typical tonic pupil and absence of reflexes. (2) Incomplete forms: (a) tonic pupil alone; (b) atypical phases of the tonic pupil alone ("iridoplegia"; "internal ophthalmoplegia"); (c) atypical phases of the tonic pupil with absent reflexes; (d) absent reflexes alone. The Tonic Pupil. In its most characteristic form the tonic pupil is usually unilateral and almost always larger than its normal fellow; it is never miotic. References 1. ADIE, W.J. Brit. Med. Journ. , 1931, 1, 928. 2. Idem Ibid., 1931, 2, 136. 3. AXENFELD, T. Klin. Monatsschr. f. Augenheilk. , 1919, 62, 59. 4. BARKAN, O. Arch. f. Augenheilk. , 1921, 87, 189. 5. BEHR, C. Klin. Monatsschr. f. Augenheilk. , 1921, 66, 770. 6. BRAMWELL, E., and SINCLAIR, Scott. Med. and Surg. Journ. , 1906, 526. 7. DIMMER, F. Klin. Monatsschr. f. Augenheilk. , 1911, 49, 332. 8. DOMARUS, A. Münch. Med. Woch. , 1919, 66, 987. 9. GEHRCKE, Neur. Centralbl. , 1921, 40, 93. 10. JESS, A. Klin, Monatsschr. f. Augenheilk , 1920, 64, 114. 11. LERPERGER, O. Ibid., 1914, 53, 241. 12. MARCUS, C. Trans. of the Ophth. Soc. of the U.K. , 1906, 21, 50. 13. MOORE, F. Ibid., 1924, 44, 38. 14. Idem. Ibid., 1931, 51, 203. 15. MORGAN, G. and SYMONDS, C.P. Guy's Hosp. Rep. , 1927, 77, 13. 16. Idem. Trans. Roy. Soc. of Med. , 1931, 768. 17. NONNE. Neur. Centralbl. , 1902, 21, 1000. 18. OLOFF, H.: Klin. Monatsschr. f. Augenheilk. , 1914, 53, 493. 19. REITCH, W. Ibid., 1925, 74, 159. 20. SAENGER, A. Neurolog. Centralbl. , 1902, 21, 837. 21. STRASBURGER, J. Ibid., 1902, 21, 738. 22. WEILL, G., and REYS, L. Rev. d'oto-neuro-oculist. , 1926, 4, 433.

Journal

Archives of NeurologyAmerican Medical Association

Published: Jun 1, 1968

References