An unusual case of anisocoria in a child with bleeding aneurysm of posterior communicating artery and idiopathic thrombocytopenic purpura (ITP)

Authors

  • NC Mahapatra Calcutta National Medical College, Kolkata. West Bengal
  • A Bandyopadhyay Calcutta National Medical College, Kolkata. West Bengal
  • SK Samanta Calcutta National Medical College, Kolkata. West Bengal
  • S Dolui Calcutta National Medical College, Kolkata. West Bengal
  • K Fariduddin Calcutta National Medical College, Kolkata. West Bengal

DOI:

https://doi.org/10.3126/nepjoph.v3i2.5276

Keywords:

ITP, children, leaking aneurysm, anisocoria

Abstract

Background: It can give rise to bleeding episodes in different parts of the body including the central nervous system with various systemic manifestations.

Case: An eight-year old female child, diagnosed as a case of chronic ITP for last two years, developed intense headache and vomiting for a few days before admission. This was associated with right sided mid dilated pupil with brisk reaction to light. MRI-angiography showed a bleeding aneurysm of posterior communicating artery. The features of raised intra cranial tension subsided with conservative management but the anisocoria persisted.

Conclusion: A bleeding aneurysm can manifest with anisocoria as a sign of partial third cranial nerve palsy.

Key words: ITP, children, leaking aneurysm, anisocoria

DOI: http://dx.doi.org/10.3126/nepjoph.v3i2.5276

Nepal J Ophthalmol 2011; 3(2): 191-192  

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How to Cite

Mahapatra, N., Bandyopadhyay, A., Samanta, S., Dolui, S., & Fariduddin, K. (2011). An unusual case of anisocoria in a child with bleeding aneurysm of posterior communicating artery and idiopathic thrombocytopenic purpura (ITP). Nepalese Journal of Ophthalmology, 3(2), 191–192. https://doi.org/10.3126/nepjoph.v3i2.5276

Issue

Vol. 3 No. 2 (2011)

Section

Case Reports

License

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