![]() ![]() Conveniently, a popular mnemonic to remember Argyll Robertson pupils is that, just like prostitutes, they "accommodate but do not react". Bilateral damage to the pretectal nuclei in the midbrain possibly involving efferent pupillary fibres associated. OGILVIE Departments of Ophthalmology and Pathology, Permanente Medical Group, Kaiser Foundation Hospital, Oakland, California, U.S.A. Pathophysiology of Argyll-Robertson pupil. Named after Douglas Argyll Robertson (1837–1909), a Scottish surgeon and ophthalmologist, who first described this condition in mid-1860s in patients with neurosyphilis.Īrgyll Robertson pupils are also sometimes called "prostitute's pupils" because of their association with late neurosyphilis. PSEUDO-ARGYLL ROBERTSON PUPILS IN OPTIC NERVE DISEASE BY PAULLEVATINANDROBERTJ. The exact anatomical lesion behind this phenomenon is unknown but is thought to be caused by bilateral damage of the pretectal nuclei in the midbrain. The group comprises episodic and chronic clus-ter headache, chronic and episodic paroxysmal hemicra-nia, and SUNCT syndrome. When seen in these non-syphilitic aetiologies, the pupil is termed ' pseudo-Argyll Robertson pupil' 3. Argyll Robertson (AR) pupil is a condition in which the pupils are able to focus on nearby objects but do not constrict properly in bright light. ![]() It is a highly specific sign of late neurosyphilis, however can also occur in diabetic neuropathy, multiple sclerosis, alcoholic midbrain degeneration, and stroke 2,3. ![]() Argyll Robertson pupil is usually bilateral and presents as bilaterally miotic and irregular pupils, which constrict briskly with accommodation but do not react to bright light therefore displaying light-near dissociation 1. ![]()
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