• Der Anaesthesist · Sep 2012

    Case Reports

    [Cessation of anesthesia after newly occurring anisocoria without light reflexes].

    • A Hemping-Bovenkerk, K Frerker, S Gurlit, and M Möllmann.
    • Klinik für Anästhesie und operative Intensivmedizin, St. Franziskus Hospital Münster GmbH, Hohenzollernring 72, 48145 Münster, Deutschland. Andre.Hemping-Bovenkerk@SFH-Muenster.de
    • Anaesthesist. 2012 Sep 1;61(9):789-91.

    AbstractAnisocoria during general anaesthesia is rare. The combination of anisocoria and absence of any reaction to light is highly suspicious of an intracerebral lesion. This article reports the case of a patient with known Adie's syndrome where anisocoria led to an unnecessary immediate interruption of anesthesia. A preoperative examination, including inspection of the pupils, frequent perioperative check ups and documentation of diagnostic findings, even if negative, has to be standard for every anesthesia.

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