Adie's Pupil, Migraine, and Neurovascular Conflict of the III Nerve in a Young Patient. Case Report.



Ignacio Saguier Padilla1*, Juan Cao1, Santiago Cutillier1, Carolina E. Siracusa1, Daniel Gestro1, Maria Figuerola1 and Lidia Saroto2

1 Neurology Department, Hospital de Clínicas José de San Martín, Buenos Aires, Argentina.

2 Ophthalmology Division, Neuro-ophthalmology, Hospital de Clinicas José de San Martín, Buenos Aires, Argentina.

*Corresponding Author: Ignacio Saguier Padilla, Residente de tercer año, Neurología, Hospital de clínicas José de San Martin, CABA, Argentina.

DOI: https://doi.org/10.58624/SVOANE.2023.04.088

Received: March 28, 2023     Published: April 20, 2023

 

Abstract

The pathogenesis of Adie's pupil would be postganglionic parasympathetic dysfunction, with no defined cause. There are some case reports of its association with migraine. Few cases of anisocoria secondary to non-aneurysmal neurovascular conflict of the III pair due to preganglionic deficit with response to pilocarpine 0.125% have also been reported. We present the case of a patient with anisocoria, migraine without aura and neurovascular conflict, diagnosed with Adie's pupil.

Keywords: Adie's Pupil, Migraine, Neurovascular variant, III cranial nerve.

Citation: Padilla IS, Cao J, Cutillier S, Siracusa CE, Gestro D, Figuerola M, Saroto L. Adie's Pupil, Migraine, and Neurovascular Conflict of the III Nerve in a Young Patient. Case Report. SVOA Neurology 2023, 4:2, 33-36.