Case Study 195: sudden enlarged pupil When a patient walks in with a new droopy eyelid, eye that’s stuck down out, and a pupil that’s blown… 🚨 You have to think FAST. This isn’t just a ‘weird eye thing.’ This could be a sign of something life-threatening. 🧠 Add in a family history of sudden death from a brain bleed - and this becomes a must-not-miss diagnosis. What test would YOU order first? 🩻🧠 Drop your answers below ⬇️ before I reveal what we found. #CaseStudy195 #Neurosurgery #ladyspined
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Case Study 195: sudden enlarged pupil When a patient walks in wit…
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One large pupil, one normal and it’s rarely just an eye problem. When pressure builds inside the skull, it pushes the brain down and compresses the oculomotor nerve. The parasympathetic fibres that constrict the pupil are crushed first, leaving the sympathetic system unopposed and the pupil dilates. A “blown pupil” is an early warning of brain herniation. Recognise it fast, act faster. Learn. Adapt. Respond. | The Medical Lounge
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Explanation of a blown pupil, from a neurosurgeon's perspective. #neurosurgery #doctor #doctorexplains #pupilsizing | Dr. Betsy Grunch - Ladyspinedoc
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