An anisocoria that does not look right

A 27-year-old man was admitted to the intensive care unit (ICU) for septic shock secondary to right upper lobe community-acquired pneumonia. Neurological exam was normal. ICU stay was complicated by severe acute respiratory distress syndrome requiring invasive mechanical ventilation. Extubation afte...

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Published inIntensive care medicine Vol. 46; no. 9; pp. 1757 - 1758
Main Authors Saade, Anastasia, Tudesq, Jean-Jacques, Dumas, Guillaume, Mariotte, Eric
Format Journal Article
LanguageEnglish
Published Berlin/Heidelberg Springer Berlin Heidelberg 01.09.2020
Springer
Springer Nature B.V
Springer Verlag
Subjects
Acute respiratory distress syndrome
Anesthesiology
Anisocoria - diagnosis
Anisocoria - etiology
Case reports
Critical Care Medicine
Emergency Medicine
Extubation
Eyes & eyesight
Hematoma
Humans
Imaging in Intensive Care Medicine
Intensive
Intensive care
Life Sciences
Medicine
Medicine & Public Health
Neurology
Pain Medicine
Pediatrics
Pneumology/Respiratory System
Pneumonia
Sepsis
Septic shock
Severe acute respiratory syndrome
Vital signs
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Summary:A 27-year-old man was admitted to the intensive care unit (ICU) for septic shock secondary to right upper lobe community-acquired pneumonia. Neurological exam was normal. ICU stay was complicated by severe acute respiratory distress syndrome requiring invasive mechanical ventilation. Extubation after sedation discontinuation occurred at day 5. Neurological revaluation at day 6 revealed anisocoria with right miosis and ptosis associated with left mydriasis, eyelid retraction and exophtalmia (Fig. 1).
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:0342-4642
1432-1238
DOI:10.1007/s00134-020-06013-6