Argyll Robertson's syndrome

Also known as outlined : A Rose pupil; Reflex iris paralysis. Cause pathogenesis A Rose for neurosyphilis pupil to the unique signs. Department of reflection on the road by syphilis lesions (especially spinal TB) to the devastation caused. Miosis oculomotor nerve and brain nuclear front intermediate neurons near the lesion. Clinical manifestations are ① retinal light sensitivity, the retina and optic no anomaly; ② small pupil; ③ pupillary light reflex disappeared. ④ regulate normal reflex; ⑤ eserine eye drops can cause miosis. and atropine eye drops to dilate incomplete; ⑥ pupil abnormal morphology (not ROUNDNESS and irregular margin) and the asymmetry; ⑦ these obstacles to lasting and sustained bilateral, dual nature of the side. A differential diagnosis in addition to Roche pupil found in neurosyphilis, can still be found in other diseases, Argyll is called pseudo-Robertson's syndrome. For the involvement of pupil performance expand 80% to unilateral, light reaction disappeared or slow responses gathered involvement light, see the involvement of pupil contraction in slow after small pupil than normal. Common result, the impact of the brain injury; Ocular or orbital trauma; Brain tumors are covered, such as four overlapping body, the pineal gland, the third ventricle, the Ministry of Aqueduct tumor; cerebrovascular disease (brain softening tumors) and multiple sclerosis and so on. Under such circumstances, except as A Rose pupil, often accompanied by vertical gaze palsy and other extraocular muscle paralysis.