Argyll Robertson pupils (“AR pupils”) are bilateral small pupils that constrict when the patient focuses on a near object, but do not constrict when exposed to bright light (they do not “react” to light). They were formerly known as "Prostitute's Pupils" because of their association with tertiary syphilis and because of the convenient mnemonic that, like a prostitute, they “accommodate but do not react. ” They are a highly specific sign of neurosyphilis.
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- Argyll Robertson pupils (“AR pupils”) are bilateral small pupils that constrict when the patient focuses on a near object, but do not constrict when exposed to bright light (they do not “react” to light). They were formerly known as "Prostitute's Pupils" because of their association with tertiary syphilis and because of the convenient mnemonic that, like a prostitute, they “accommodate but do not react. ” They are a highly specific sign of neurosyphilis. In general, pupils that “accommodate but do not react” are said to show light-near dissociation. A video of AR pupils and light-near dissociation is available here AR pupils are extremely uncommon in the developed world. There is continued interest in the underlying pathophysiology, but the scarcity of cases makes ongoing research difficult.
- Das Argyll-Robertson-Zeichen tritt bei zerebralen Störungen im Bereich des Mittelhirns (Tectum, Vierhügelplatte) auf. Klinisch zeigt sich dies durch einen Verlust der optischen Reflexe des Auges, dagegen sind die motorischen Reflexe (Konvergenzreaktion und Naheinstellungsreaktion) intakt, - es liegt also eine reflektorische Pupillenstarre vor. Typischerweise tritt das Argyll-Robertson-Zeichen bei der Neuro-Lues, aber auch bei anderen Erkrankungen (Entzündung, Tumor) auf. Der schottische Augenchirurg Douglas Moray Cooper Lamb Argyll Robertson, nach dem das Zeichen benannt ist, stellte 1869 die Verbindung zwischen der Syphiliserkrankung und der Lichtstarre der Pupillen fest.
- Le signe d'Argyll Robertson, (ou Pupille d'Argyll Roberston) est une abolition du réflexe photomoteur (contraction des pupilles à la lumière), avec conservation de la réaction d'accommodation (contraction des pupilles lors de la mise au point focale à la distance). Les pupilles présentant ce signe sont petites, inégales et de forme irrégulière. Alors que les yeux peuvent se concentrer sur des objets aussi bien proches qu'éloignés, la réponse directe et controlatérale à la lumière est réduite ou absente.
- Per segno di Argyll-Robertson si intende un segno clinico scoperto dal medico omonimo, tipico di alcun malattie del sistema nervoso centrale (ad esempio la tabe dorsale, la manifestazione più importante della sifilide terziaria). Il segno di Argyll-Robertson consiste nella perdita del riflesso di miosi alla luce e nel mantenimento di quello di miosi durante l'accomodazione-convergenza. La sede della lesione che produce questo effetto non è attualmente nota ma può spesso interessare la sostanza grigia periacqueduttale.
- Argyll Robertsons pupill er en medisinsk tilstand som kan observeres i øyet i sjeldne tilfeller som et resultat av langkommet, ubehandlet syfilis. Pupillene er små og kan være uregelmessige i formen. Pupillerefleksen er svakere eller borte, slik at det tar lengre tid for pupillene å trekke seg sammen når det sendes mer lys i øyet, eller pupillene trekker seg mye mindre sammen enn normalt. Når pasienten ser fra fjernt hold til å se på noe nært, trekker pupillene seg sammen normalt. Denne refleksen er normal ved Argyll Robertsons pupill. Tilstanden ble første gang beskrevet av Douglas Argyll Robertson i 1869.
- Objaw Argyll Robertsona to patologiczny objaw występujący podczas badania odruchów źreniczych na światło i akomodację (nastawienie). Znamienne dla tego objawu cechy to: brak zwężenia źrenicy przy jej oświetleniu – brak bezpośredniej i konsensualnej reakcji źrenic na światło prawidłowa reakcja źrenic (zwężenie) na zbliżający się przedmiot – zachowany odruch źrenic na zbieżność i nastawność powolne rozszerzanie źrenic w ciemności obuoczny charakter zmian Dodatni objaw Argylla Robertsona świadczy o uszkodzeniu dośrodkowej drogi odruchowej (zwykle okolicy okołowodociągowej śródmózgowia) przed osiągnięciem jądra nerwu III. Do chorób wywołujących go należą: kiła trzeciorzędowa – obecnie znaczenie praktycznie tylko historyczne stwardnienie rozsiane guzy szyszynki encefalopatia cukrzycowa Obecność tego objawu poucza nas także, że w obrębie śródmózgowia włókna odruchu na światło są rozdzielone od włókien odruchu na akomodację.
- Pupilas de Argyll Robertson são pupilas bilateralmente pequenas que se contraem quando o paciente foca em um objeto próximo, mas não se contraem quando expostas ao brilho da luz (não reagindo à luz). Está relacionada com a neurosífilis.
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- Argyll Robertson pupils (“AR pupils”) are bilateral small pupils that constrict when the patient focuses on a near object, but do not constrict when exposed to bright light (they do not “react” to light). They were formerly known as "Prostitute's Pupils" because of their association with tertiary syphilis and because of the convenient mnemonic that, like a prostitute, they “accommodate but do not react. ” They are a highly specific sign of neurosyphilis.
- Das Argyll-Robertson-Zeichen tritt bei zerebralen Störungen im Bereich des Mittelhirns (Tectum, Vierhügelplatte) auf. Klinisch zeigt sich dies durch einen Verlust der optischen Reflexe des Auges, dagegen sind die motorischen Reflexe (Konvergenzreaktion und Naheinstellungsreaktion) intakt, - es liegt also eine reflektorische Pupillenstarre vor. Typischerweise tritt das Argyll-Robertson-Zeichen bei der Neuro-Lues, aber auch bei anderen Erkrankungen (Entzündung, Tumor) auf.
- Le signe d'Argyll Robertson, (ou Pupille d'Argyll Roberston) est une abolition du réflexe photomoteur (contraction des pupilles à la lumière), avec conservation de la réaction d'accommodation (contraction des pupilles lors de la mise au point focale à la distance). Les pupilles présentant ce signe sont petites, inégales et de forme irrégulière.
- Per segno di Argyll-Robertson si intende un segno clinico scoperto dal medico omonimo, tipico di alcun malattie del sistema nervoso centrale (ad esempio la tabe dorsale, la manifestazione più importante della sifilide terziaria). Il segno di Argyll-Robertson consiste nella perdita del riflesso di miosi alla luce e nel mantenimento di quello di miosi durante l'accomodazione-convergenza.
- Argyll Robertsons pupill er en medisinsk tilstand som kan observeres i øyet i sjeldne tilfeller som et resultat av langkommet, ubehandlet syfilis. Pupillene er små og kan være uregelmessige i formen. Pupillerefleksen er svakere eller borte, slik at det tar lengre tid for pupillene å trekke seg sammen når det sendes mer lys i øyet, eller pupillene trekker seg mye mindre sammen enn normalt. Når pasienten ser fra fjernt hold til å se på noe nært, trekker pupillene seg sammen normalt.
- Objaw Argyll Robertsona to patologiczny objaw występujący podczas badania odruchów źreniczych na światło i akomodację (nastawienie).
- Pupilas de Argyll Robertson são pupilas bilateralmente pequenas que se contraem quando o paciente foca em um objeto próximo, mas não se contraem quando expostas ao brilho da luz (não reagindo à luz). Está relacionada com a neurosífilis.
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- Argyll Robertson pupil
- Argyll-Robertson-Zeichen
- Signe d'Argyll Robertson
- Segno di Argyll-Robertson
- Argyll Robertsons pupill
- Objaw Argylla Robertsona
- Pupila de Argyll Robertson
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