These two medications are liberally used, singly or in combination, during advanced cardiac life support and they act synergistically to cause pupillary dilation. An important point, often not emphasized in daily rounds and certainly not in current medical and neurological texts, is the role of large doses of atropine (a parasympatholytic drug) and dopamine (a sympathomimetic drug) in the causation of this phenomenon during the immediate postresuscitation period. If you think you may have a medical emergency, call your physician or 911 immediately.To the Editor.- Sometimes we are consulted by the residents covering the medical and cardiac intensive care units to consider or rule out brain death in a patient who has recently been transferred from the emergency department after a successful cardiopulmonary resuscitation and advanced cardiac life support but is found to have dilated and fixed pupils when first examined by the resident covering the intensive care unit. By using this Site you agree to the following Terms and Conditions. We offer this Site AS IS and without any warranties. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. The 'blown pupil' Uncal herniation causes a third nerve palsy by stretching the oculomotor nerve over the petroclinoid ligament, a delicate band of dura stretching between the clinoid process and petrous portion of the temporal bone (purists may remark that it is an extension of the tentorium cerebelli).
BLOWN PUPIL CAUSES PROFESSIONAL
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The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. If you cannot find a ride, then call an ambulance. Don't drive yourself, it is best to call a family member or a friend. Do not go to work or do anything else, as this needs to be evaluated immediately.
You should go directly to an emergency room for further evaluation. Regardless, this could be a serious and potentially life-threatening event. The dilated pupil is suggestive that it is an aneurysm of the posterior communicating artery. The major concern her is that an aneurysm in your head has ruptured. This does not sound like the typical migraine headaches you have had in the past. The headache was sudden and severe, along with a dilated pupil and photophobia. Thank You Sincerely, Janet Maloy _ _ Dear Janet, What you are describing is consistent with a subarachnoid bleed in the head.
Do you think I should just assume it is another migraine headache? I have never experienced an migraine so bad like this one. Could this be some kind of migraine headache? It has been several hours now and my pupil has not changed. I experienced dizziness with onset of headache that has not gone away. Hello, I have been suffering with a sudden onset of severe headache on oneside of my head with my pupil being dilated with oblong shape.
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