I cant find any specific difference spelled out, though ive noticed that robertson seems to be reserved exclusively for the syndrome when due to syphilis, whereas robinson is used in a more generalized sense when the syndrome could be due to. Apr 07, 20 a pupil that does not respond to light and reacts slowly to drugs that induce pupil contraction, but responds to accommodation within the normal range. Gummatous disease may present with destructive inflammation and spaceoccupying. Synonyms for argyll robertson pupil in free thesaurus. The authors report a case of multiple sclerosis who had unilateral argyll robertson pupil. In humans the eye is of the camera type, with an iris diaphragm and variable focusing, or accommodation.
Argyll robertson pupils litfl medical blog medical eponym. Argyll robertson pupils in alcoholism archives of neurology. Argyll robertson pupil synonyms, argyll robertson pupil pronunciation, argyll robertson pupil translation, english dictionary definition of argyll robertson pupil. Learn vocabulary, terms, and more with flashcards, games, and other study tools. It is a sign of several distinct disorders of the central nervous system, such as brain tumor, multiple sclerosis, and neurosyphilis. Argyll robertson pupil an ocular finding, now of largely historic interest, for a pupil that can focus on a near object accommodate but does not react to light, which is classically described in tertiary syphilis. A marcus gunn pupil or relative afferent pupillary defect results from a lesion of an optic nerve, and may seen in patients with optic neuritis that commonly results from multiple sclerosis. They react to accommodation but show no response to light.
Argyll robertson pupils may be seen in patients with tabes dorsalis caused by neurosyphilis or in patients with diabetes mellitus. Ideal sources for wikipedia s health content are defined in the guideline wikipedia. Argyll robertson pupil arp, also called ar pupils, refers to small bilateral pupils that constrict when a person tries to focus on a near object but do not constrict when the eyes are exposed to light of bright intensity 1. The dimensions of the pupil change according to the amount of light present. Argyll robertson pupil definition of argyll robertson. The pupil does not react to light regardless of which eye is stimulated. Ogilvie departments of ophthalmology and pathology, permanente medical group, kaiser foundation hospital, oakland, california, u. Such features are considered typical of the lightnear dissociation of adie syndrome and of neuropathic tonic pupils, where damage to the ciliary ganglion or ciliary. Here are links to possibly useful sources of information about argyll robertson pupil.
Pdf on nov 1, 1998, kazunori mabuchi and others published pseudoargyll robertson pupil of patients with spinocerebellar ataxia type 1 sca1 find, read and cite all the research you need on. This condition was named after british ophthalmologist douglas argyll robertson. Argyll robertson pupil pathophysiology, causes, symptoms, types. Argyllrobinson and argyllrobertson are both terms that are in useage, sometimes even within the same article. Later, the argyll robertson pupil was found usually to be the result of neurosyphilis, and it became a cardinal sign of the disease. However, they do not do the same in bright light condition and thus the ailment is really something different and disturbing. I could not observe any contraction of either pupil under the influence of light, but, on accommodating the eyes for a near object, both pupils contracted. Dr douglas moray cooper lamb argyll robertson frse, frcsed lld 1837 3 january 1909 was a scottish ophthalmologist and surgeon. Argyll robinson and argyll robertson are both terms that are in useage, sometimes even within the same article. He introduced physostigmine into ophthalmic practice and the argyll robertson pupil is named after him. Dilated pupil constricted pupil well appreciated in bright well appreciated in dim light light causes causes rapd horners adies argyll robertson pupil traumatic pharmacological third nerve palsy pharmacological.
Which produces an argyll robertson pupil is unclear. The two different types of near response are caused by different underlying disease processes. Argyll robertson was also the first to demonstrate the cholinergic ocular effects of an extract from the calabar bean, the drug physostigmine. Argyllrobertson pupil key points in 60 seconds youtube. Argyll robertson pupil radiology reference article. Argyll robertson pupil describes the physical exam finding of small bilateral pupils that do not constrict when exposed to bright light but do.
Studies have failed to demonstrate a focal localising lesion. Robertson noted the association between the pupillary syndrome and disease of the spinal cord. Most descriptions of the ar pupil do not mention segmental iris sphincter constriction, or slow, sustained constriction with a near vision. The pathophysiologic mechanism which produces an argyll robertson pupil is unclear. Argyll robertson pupils 38,39 also exhibit lightnear dissociation with a brisk constriction during near viewing but typically are miotic, are slightly irregular, and dilate poorly in the dark fig. A form of reflex iridoplegia characterized by miosis, irregular shape, and a loss of the direct and consensual pupillary reflex to light, with normal pupillary constriction to a near vision effort lightnear dissociation. The essentials of the argyll robertson pupil are absolute immobility to light and unimpaired response to the accommodation. World heritage encyclopedia, the aggregation of the largest online encyclopedias available, and the.
The following list of conditions have argyll robertson pupil or similar listed as a symptom in our database. Argyll robertson pupil article about argyll robertson pupil. Rapid dilatation of a pupil, alternating with contraction. Adies pupil is caused by damage to peripheral pathways to the pupil parasympathetic neurons in the ciliary ganglion that cause pupillary constriction to bright light and with near vision. Argyll robertson pupils ar pupils or, colloquially, prostitutes pupils are bilateral small pupils that reduce in size on a near object i. The response of the pupil to convergence effort is bet ter than the response to light as seen in syphilis ar gyll robertson pupil, the dorsal midbrain syndrome. Argyll robertson pupil medical definition merriamwebster.
Department of ophthalmology, university of florida health science center, jacksonville. It has been reported in patients with diabetes mellitus, multiple sclerosis, wernickes encephalopathy, sarcoidosis, tumours, and haemorrhage. Argyll robertson pupil one that is miotic and responds to accommodation effort, but not to light. Argyll robertson pupils are bilateral small pupils that reduce in size on a near object i. The full text of this article is available as a pdf 32k. Moore 11 stated that in cases of nonsyphilitic conditions the pupil has special characteristics. Articulo en pdf articulo en xml referencias del articulo como citar este. Argyll robertson pupil was most prevalent before the widespread availability of penicillin in the 1940s, as it is commonly associated with syphilis and only develops after long term infection which remains untreated. However, we have not seen typical argyll robertson pupils narrow pupils unreactive to light but reactive to near vision with positive serological. Argyll robertson pupils ar pupils are bilateral small pupils that constrict when the patient focuses on a near object they accommodate with near vision, but do not constrict when exposed to bright light they do not react to light.
Inverse argyll robertson pupil in burkitts lymphoma ncbi. The argyll robertson pupil is rarely seen with the decline of neurosyphilis. Abstract a case in which argyll robertson pupils developed in the course of a toxic polyneuritis and disappeared with the subsidence of the disease should be recorded for two reasons. Argyll robertson pupil the argyll robertson pupil are known to be bilateral small sized pupils which can get constricted when a person forcefully tries to discern nearby objects. The constellation includes argyll robertson pupil, ataxic widebased gait, bowel or bladder incontinence, loss of position and vibratory sense, loss of deep pain and temperature sensation, acute episodic gastrointestinal pain, charcot joints, general paresis. The significance of the unilateral argyll robertson pupil. Mar 25, 20 rapd, relative afferent pupillary defect, marcusgunn pupil duration. Argyll robertson pupil synonyms, argyll robertson pupil. Argyll robertson pupil definition of argyll robertson pupil. Examination showed argyll robertson pupils, which are nonreactive to bright light but constrict when focused on a near object. Argyll robertson pupil arp is a rare kind of pupillary disturbance, most commonly seen in neurosyphilis3, and its main feature is lack of reaction to light, with. Argyll robertson pupil radiology reference article radiopaedia. Argyll robertson pupil jama neurology jama network.
Pupille di argyll robertson, pupilla di argyll robertson. The criteria used in the diagnosis of argyll robertson pupil in the present study are identical with those described by argyll robertson in 1869. Anatomical basis of argyll robertson pupil prostitutes pupil. Argyll robertson ar pupil was first described by scottish ophthalmologist and surgeon, dr. The most common cause of this condition is syphilis. Other types of eye are the simple eye, found in many invertebrates, and the compound eye, found in insects and many other click the link for more information. Argyll robertson pupil an overview sciencedirect topics. Argyll robertson pupil article about argyll robertson. Argyll robertson pupil arp it is characterised by bilateral constricted pupils. Argyllrobertson pupil definition of argyllrobertson pupil.
In 1869 douglas moray cooper lamb argyll robertson described his famous pupillary sign in two papers. Argyll robertson pupil is usually bilateral and presents as bilaterally miotic and irregular pupils, which constrict briskly with accommodation but do not react to bright light therefore displaying lightnear dissociation 1. Examination the pupils are small and irregular light reflex is absent accommodation reflex is intact. The argyll robertson pupil is usually bilateral and characterised by. See detailed information below for a list of 8 causes of argyll robertson pupil, symptom checker, including diseases and drug side effect causes. This finding is highly specific for latestage syphilis. Most descriptions of the ar pupil do not mention segmental iris sphincter constriction, or slow, sustained constriction with a near vision effort. Argyll robertson pupil refers to small bilateral pupils that are able to constrict when an individual tries focusing or viewing an object near him or her, but when the pupil is exposed to bright light, it does not constrict or respond to that light stimuli. Argyll robertson pupil pupil constriction caused by syphilis. Argyll robertson 10 described the characteristic pupil as miotic, not responding to light but reacting normally to stimuli of accommodation and convergence, and of irregular outline, with little or no response to mydriatic drugs or psychogenic stimuli.
Accommodation reflex present read forwards pupillary reflex absent read in reverse. Trigemino autonomic cephalalgia and argyll robertson pupil scielo. Soundari consultant ophthalmologistdr agarwals eye hospital, chennai 2. The demonstration of a pontine lesion on nmr scanning is compatible with a central origin for this characteristic pupillary abnormality. Historically, this finding indicates neurosyphilis but other conditions can produce ar pupils. Argyll robertson pupil describes the physical exam finding of small bilateral pupils that do not constrict when exposed to bright light but do constrict when focused on a nearby object. Argyll robertson pupil in one eye refers to a condition in which the pupil of one eye constricts when a person focuses on a near object but does not constrict normally when exposed to bright light. A pupil made by iridectomy when the normal pupil is occluded. Argyll robertson pupil plural argyll robertson pupils a bilateral small pupil of the eye that reduces in size when the patient focuses on a near object but does not constrict when exposed to bright light.
This computergenerated list may be inaccurate or incomplete. We use your linkedin profile and activity data to personalize ads and to show you more relevant ads. Argyll robertson pupil wikimili, the free encyclopedia. Argyll robertson pupil is ascribed to a lesion of intercalated neurons in the midbrain or to damage of inhibitory fibers to the oculomotor nucleus loewenfeld, 1969. Argyll robertson pupil ar pupils are small miosis, irregular in outline and have light near dissociation. Argyll robertson pupil ophthalmology mcq pg blazer. The argyll robertson ar pupil has been defined as a pupil that is small and constricts poorly to direct light but briskly when a target within reading distance is viewed lightnear dissociation. Argyll robertson pupils medigoo health medical tests. Argyll robertson pupils develop over the course of. Cranial nerves of the pons and midbrain associated with the control of eye movements abducens nerve cranial nerve vi components.
Argyll robertson pupil specific sign of neurosyphilis small and irregular pupils usually bilateral but asymmetric do not respond to light but near response normal lightnear dissociation adies pupil. Argyll robertson pupils argyll robertson pupil, eye. The pathophysiologic mechanism which produces an argyll robertson pupil is unclear, but is believed to be the result of bilateral damage to the pretectal. Eye anatomy dissociation physiology medicine study education eyes nursing studio. Argyll robertson pupil is usually bilateral and presents as bilaterally miotic and irregular pupils, which constrict briskly with accommodation but do not react to. Douglas moray cooper lamb argyll robertson 18371909 was a scottish ophthalmologist.
He was the first to describe his eponymous pupillary abnormality among patients with tabes dorsalis. The argyll robertson pupil, a miotic pupil that responds to an. Argyll robertson pupil is usually bilateral and presents as bilaterally miotic and irregular pupils, which constrict briskly with accommodation but do not react to bright light therefore displaying lightnear dissociation 1 it is a highly specific sign of late neurosyphilis, however can also occur in diabetic neuropathy, multiple sclerosis, alcoholic midbrain degeneration, and stroke 2,3. Salient features history ask the patient about lancinating pains history of multiple sclerosis, sarcoidosis or syphilis difficulty in walking remember the gait in tabes dorsalis. Argyll robertson pupil project gutenberg selfpublishing. Started in 1995, this collection now contains 6769 interlinked topic pages divided into a tree of 31 specialty books and 732 chapters. Douglas argyll robertson 18371909, british ophthalmologist. See full list of possible disease causes of argyll robertson pupil argyll robertson pupil. Argyll robertson pupils definition of argyll robertson. Argyll robertson pupil features mnemonic pg blazer. Robertson reasoned that a lesion in the ciliospinal sympathetic nerves was responsible for the syndrome. The argyll robertson ar pupil refers to small, irregularly shaped pupils bilaterally that can accommodate to a near stimulus but do not react well to direct light stimulus.
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