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P. Brazis (2009)
Isolated palsies of cranial nerves III, IV, and VI.Seminars in neurology, 29 1
Olga Rosenvald, S. Lessell (2016)
Pupillary sign of aberrant regeneration of the third nerveNeurology, 86
J. Peragallo, B. Bruce, A. Hutchinson, P. Lenhart, V. Biousse, N. Newman, S. Lambert (2015)
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J. Czarnecki, H. Thompson (1978)
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(1991)
Tonic pupil and Czarnecki sign following 3rd-nerve palsy
J. Keane (2010)
Third Nerve Palsy: Analysis of 1400 Personally-examined InpatientsCanadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques, 37
We describe an atypical presentation of aberrant regeneration of the 3rd cranial nerve causing vision changes with ocular motility. Abnormal communication between axons destined for the medial rectus and those destined for muscles involved in the accommodative response resulted in simultaneous pupil constriction and myopic shift of approximately 2.5 diopters with adduction. While there have been several reports of this pupillary response (Czarnecki sign), no cases have documented the change in refraction from ciliary muscle involvement.
Journal of Binocular Vision and Ocular Motility – Taylor & Francis
Published: Jul 3, 2023
Keywords: Third nerve palsy; aberrant regeneration; pupillary response; myopic shift
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