Memorial Hospital of South Bend
Publishes on Migraine and Headache Studies, Ophthalmology and Eye Disorders, Glioma Diagnosis and Treatment. 5 papers and 458 citations.
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Spinal subdural hematomas are rare; only 15 cases not associated with major trauma have been reported previously. Over the past four years we have encountered eight patients with thrombocytopenia who developed spinal subdural hematomas following lumbar puncture. In three of the patients, the hematoma was associated with weakness and sensory loss in the lower extremities and with bladder dysfunction. One patient recovered spontaneously, but two remained paraplegic until their deaths several months later.
Transient unilateral pupillary dilation occurred in four young adults who otherwise had normal clinical neurological examination results and normal cerebral arteriograms. The cause of this benign syndrome is unknown, but some cases may be variants of ophthalmoplegic migraine.
<h3>To the Editor.—</h3> Dr. Boghen rightfully stresses that topically given mydriatic drugs can produce transient pupillary dilation, and Dr. Boghen's personal experience with the pilocarpine test is valuable in this regard. Only general use of this test and time will tell whether topically administered mydriatics are responsible for all cases of transient unilateral pupillary dilation.