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mydriasis/scopolamine
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[Coma with bilateral mydriasis after use of transdermal scopolamine in ICU].
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We report the case of an ICU patient with previous medical history of head trauma with hydrocephalus requiring ventricular derivation, presenting a coma (Glasgow Coma Score=8) with bilateral mydriasis after the use of transdermal scopolamine (1 mg) for profuse bronchial secretions. Neurological
[Transdermal scopolamine and mydriasis].
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The authors report five cases of mydriasis induced by the use of transdermal scopolamine delivery systems. Anisocoria and narrow angle glaucoma were involved in four cases; in one case, the use of a strong dosage resulted in a bilateral mydriasis in a child.
Unilateral mydriasis caused by transdermal scopolamine.
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Contamination of the eye after handling of a transdermal scopolamine patch may cause accidental mydriasis. A simple office test is discussed to identify this pharmacologic blockade and thereby avoid an extensive neurologic workup.
Unilateral mydriasis due to scopolamine patch.
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METHODS
We report the case of a patient who presented with unilateral mydriasis after a scopolamine patch application. The specific clinical context (cancer) reported here may have led to the misinterpretation of the etiology of mydriasis.
CONCLUSIONS
Our case description warns against diagnostic
Accidental mydriasis from scopolamine patches.
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Although scopolamine is rarely intentionally applied directly to the eye, accidental contamination can occur after touching or handling a transdermal scopolamine patch, worn behind the ear to prevent motion sickness, and then rubbing one's eyes or handling contact lenses. An acute episode of
Scopolamine patch-induced unilateral mydriasis.
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Unilateral dilated pupil from scopolamine disk.
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A simple test for scopolamine mydriasis.
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Fixed dilated pupil resulting from transdermal scopolamine.
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Images in emergency medicine. Scopolamine-associated mydriasis.
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[What is your diagnosis? Unilateral mydriasis due to rubbing the eye with scopolamine].
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Visual side-effects from transdermal scopolamine (hyoscine).
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Transdermal scopolamine may be used to reduce drooling in children with disabilities. Side-effects include dilated pupils and a reduction in the near point of accommodation (the closest point at which clear vision is possible). Two male children with epilepsy, one with spinal dysraphism (aged 7y
[Acute monosymptomatic anisocoria after removing a scopolamine patch from a patient].
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Acute anisocoria requires timely examination to rule out intracranial pathology. This case report describes a 34-year-old nurse who experienced blurred vision and unilateral mydriasis. She had no other complaints, and neurological examinations were normal. Shortly before, she had removed a
Transdermal hyoscine induced unilateral mydriasis.
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The authors present a case of unilateral mydriasis in a teenager prescribed transdermal hyoscine hydrobromide (scopolamine) for chemotherapy induced nausea and vomiting. The authors discuss the ocular side-effects associated with this particular drug and delivery system and the potential use of
Epidemic of poisoning caused by scopolamine disguised as Rohypnol tablets.
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OBJECTIVE
An epidemic of scopolamine poisonings occurred in Oslo in 2008 among users of illicit drugs, caused by fake Rohypnol pills. The clinical features, diagnostic process, and handling of the epidemic are presented.
METHODS
Suspected cases of scopolamine poisoning were extracted by reviewing
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