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A Relative Afferent Pupillary Defect Without Any Visual Sensory Deficit
Christopher A. Girkin, MD;
Julian D. Perry, MD;
Neil R. Miller, MD
Baltimore, Md
Arch Ophthalmol. 1998;116:1544-1545.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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A 54-YEAR-OLD woman was an unrestrained driver in a high-speed, motor vehicle accident. She was stabilized but remained in a coma requiring intubation for 8 days. Neuroimaging performed on admission to the hospital showed a subarachnoid hemorrhage, a small subdural hematoma, and a basal skull fracture. As the patient recovered from her coma, she was noted to have marked left facial weakness and diplopia. The patient was evaluated 6 weeks after the accident and had a visual acuity of 20/20 OU and no color vision deficit by color plate testing. Full visual fields were measured by both kinetic perimetry with a Goldmann perimeter and static perimetry using a 24-2 strategy on a Humphrey automated perimeter. Despite the lack of any afferent visual deficit, there was a moderate right-sided relative afferent pupillary defect (Figure 1). Additionally, the . . . [Full Text of this Article]COMMENT
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