Study on Benign Episodic Unilateral

A related disorder is benign unilateral episodic mydriasis, in which young people, mostly women, have occasional periods of pupillary asymmetry mydriasis.

Each occurrence is isolated, and no systemic or neurologic disease has been associated to it. Some publications characterise it as a limited form of ophthalmoplegic migraine since it is usually associated with migraine, albeit our patient had no accompanying headache. Anxiety, anger, and insomnia were among her complaints.

Selective serotonin reuptake inhibitors (SSRIs) are usually suggested as the drug of choice for the treatment of depression and generalised anxiety disorder.

Because SSRI’s central inhibitory effects are thought to extend to dilation linked neurons, which inhibit the E.W. nucleus, SSRI would also suppress BUEM. It’s unknown what’s causing the underlying physiopathology, however it might be parasympathetic insufficiency or sympathetic hyperactivity impacting the iris. The study’s goal is to determine whether the pupillary dilatations found in BUEM are caused by occasional suppression of dilation-corelated neurons in the Edinger Westpal nucleus.

Author (S) Details

B. Ozkara
Kocaeli University, Umuttepe Campus 41350, Kocaeli, Izmit, Turkey.

Kocaeli University, Umuttepe Campus 41350, Kocaeli, Izmit, Turkey.

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