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A 34-year-old woman reported that the right side of her face was warmer than the left and had an unusual propensity for sweating. (Panels A and B were obtained after she had been running.) Six years earlier, anisocoria of the left eye had developed that was diagnosed as tonic, or Adie's, pupil. On examination, she had a left-sided tonic pupil with lightnear dissociation and a positive pilocarpine test. In addition, ankle jerks were absent and she had pathological autonomic functions, confirming the presence of Adie's syndrome. There were no other signs of sympathetic pupillary dysfunction or Horner's syndrome. A structural . . . [Full Text of this Article] |