Rigid pupils, reflectiveA52.1
Synonym(s)
Argyll-Robertson pupil; Argyll-Robertson's pupil rigidity; reflective; Rigidity of the pupil; Rigid pupil tabular reflex; table
HistoryThis section has been translated automatically.
Robertson, 1869
DefinitionThis section has been translated automatically.
Absence of direct and consensual light response, narrow pupils (irritant diosis), excessive close-up reaction (pupil constriction in convergence).
Notice! Pathognomonic for Tabes dorsalis in syphilis IV.
EtiopathogenesisThis section has been translated automatically.
Mostly in syphilis cerebrospinalis, but also in chronic alcoholism, traumatic brain lesions and epidemic encephalitis, also occurring in multiple sclerosis and other cerebral diseases.
Clinical featuresThis section has been translated automatically.
Cancellation of the direct and consensual light reflex of the pupil with preserved reflex on accommodation and convergence; pupil reaction to sensory and psychological stimuli is absent or reduced; anisocoria, often also rounding of the pupil.
TherapyThis section has been translated automatically.
S.u. Syphilis acquisita.
LiteratureThis section has been translated automatically.
- Robertson A (1869) Four cases of spinal miosis; with remarks on the action of light on the pupil. Edinburgh med J 15: 487-493
- Robertson A (1869) On an interesting series of eye symptoms in a case of spinal disease, with remarks on the action of belladonna on the iris etc. Edinburgh med J 14: 646-708