NEJM Image Challenge
New Year, new case challenge (Taken from NEJM)
A 37-year-old man presented to the neurosurgery clinic with blurry vision, headache, and difficulty looking upward. On exam, he had diplopia, upward gaze palsy, and vertical misalignment of the eyes. His pupils only minimally constricted to light but constricted to near objects. (See image below)
What is the name of this pupillary exam finding?
Adie’s pupil
Anisocoria
Argyll Robertson pupil
Light-near dissociation
Relative afferent pupillary defect (e.g., Marcus Gunn pupil)
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A.R. pupil...3