Die Konvergenzreaktion ist dagegen intakt. [1] On ne sait pas si la neurosyphilis elle-même (infection par Treponema pallidum ) peut causer des pupilles toniques, ou si les pupilles toniques de la syphilis reflètent simplement une neuropathie périphérique coexistante. [3] It is not known whether neurosyphilis itself (infection by Treponema pallidum) can cause tonic pupils, or whether tonic pupils in syphilis simply reflect a coexisting peripheral neuropathy. Kawasaki A. Physiology, assessment, and disorders of the pupil. Klinisch zeigt sich dies durch einen Verlust der optischen Reflexe des Auges (Pupillenreflex nach Lichteinstrahlung), dagegen sind die motorischen Reflexe (Konvergenzreaktion und Naheinstellungsreaktion) intakt – es liegt also eine reflektorische Pupillenstarre vor. The Argyll Robertson pupil became a pa… Le signe d'Argyll Robertson, (ou Pupille d'Argyll Robertson) est une abolition du réflexe photomoteur (contraction des pupilles à la lumière), avec conservation de la réaction d'accommodation (contraction des pupilles en même temps que les muscles du cristallin lors de la mise au point focale à la distance). Argyll Robertson pupil refers to small bilateral pupils that are able to constrict when an individual tries focusing or viewing an object near him or her, but when the pupil is exposed to bright light, it does not constrict or respond to that light stimuli. Specifically, a lesion of the rostral midbrain within the dorsal aspect of the Edinger-Westphal nucleus can interrupt the pretectal oculomotor light reflex fibers. Das Argyll-Robertson-Zeichen tritt bei zerebralen Störungen im Bereich des Mittelhirns (Tectum, Vierhügelplatte) auf. [5], Although Argyll Robertson pupils are classically associated with neurosyphilis, other AR like pupils can occur in diabetes mellitus, neurosarcoidosis, chronic alcoholism, encephalitis, multiple sclerosis, Lyme disease, or herpes zoster. Ces voies sensibles à la lumière permettent à la pupille de se contracter sous une lumière vive. Four cases of spinal miosis : with remarks on the action of the light on the pupil. Argyll Robertson pupils were named after Douglas Argyll Robertson (1837–1909), a Scottish ophthalmologist and surgeon who described the condition in the mid-1860s in the context of neurosyphilis. Argyll Robertson pupils were named after Douglas Argyll Robertson (1837–1909), a Scottish ophthalmologist and surgeon who described the condition in the mid-1860s in the context of neurosyphilis.. “Syphilis”. Edin Med J 1869 ; 14 : 696-708. They are a specific sign of neurosyphilis.In general, pupils that accommodate but do not react are said to show light-near dissociation (i.e. The exact relationship between syphilis and the two types of pupils (AR pupils and tonic pupils) is not known at the present time. That's it. This page was last modified on July 7, 2020, at 06:22. https://www.wikidoc.org/index.php/Argyll_Robertson_pupil, https://wikimedi.ca/index.php?title=Pupilles_d%27Argyll-Robertson&oldid=25519, Creative Commons attribution, partage dans les mêmes conditions, Cette page a été modifiée ou créée le 2019/10/06 à partir de, Cette page a été modifiée pour la dernière fois le 6 octobre 2019 à 07:59 par l'utilisateur. Er dient, https://de.wikipedia.org/w/index.php?title=Argyll-Robertson-Syndrom&oldid=176346220, „Creative Commons Attribution/Share Alike“, Anomalien der Pupillenreaktion bei anderenorts klassifizierten Krankheiten. It will enhance any encyclopedic page you visit with the magic of the WIKI 2 technology. 3) Dorsal midbrain syndrome (Parinaud Syndrome, Sylvian Aqueduct Syndrome, Pretectal Syndrome), 4) Aberrant regeneration of the third nerve. In: 2018-2019 Basic and Clinical Science Course, Section 05: Neuro-Ophthalmology. The pathophysiologic mechanism which produces an Argyll Robertson pupil is unclear, but is believed to be the result of bilateral damage to the pretectal nuclei in the midbrain. The source code for the WIKI 2 extension is being checked by specialists of the Mozilla Foundation, Google, and Apple. Es handelt sich dabei um eine bestimmte Form der Reflektorischen Pupillenstarre, die als typisch für die Neurolues (Befall des Nervensystems im Spätstadium einer Syphiliserkrankung) gilt. Thompson HS. Dernière modification le 27 décembre 2018, à 18:13, https://fr.wikipedia.org/w/index.php?title=Signe_d%27Argyll_Robertson&oldid=155166658, licence Creative Commons attribution, partage dans les mêmes conditions, comment citer les auteurs et mentionner la licence. Centers for Disease Control and Prevention, Miller NR, et al. Les pupilles présentant ce signe sont petites, inégales et de forme irrégulière. He also described a symptom of neurosyphilis that affects the pupils of the eye, a condition subsequently known as Argyll Robertson pupil. In: Walsh and Hoyt’s Clinical Neuro-Ophthalmology. Beim Argyll-Robertson-Syndrom besteht zusätzlich eine Miosis (Enge der Pupillen). In: Clinical Pathways in Neuro-ophthalmology: An Evidence-Based Approach. Argyll Robertson pupils, also known as AR pupils, are characterized by small and irregular pupils that have little to no constriction to light but constricts briskly to near targets. The AR pupil became known as a reliable clinical sign of syphilis. Diese Seite wurde zuletzt am 16.

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