Objective Pupillometry As an Adjunct to Prediction And Assessment For Oculomotor Nerve Injury And Recovery: Potential for Practical Applications

The pupillary light reflex examination is an intrinsic part of any good neurological exam. It can be affected by injury to the eye itself, the afferent and efferent pathways, and more importantly the brain due to stroke, traumatic brain injury, or toxicity. There has been consistent evidence that automated pupillometry assessment can provide superior accuracy and interrater correlation compared to bedside eye examination. Pupillary indices such as the Neurological Pupil Index (NPI) may also provide the treatment team with several hours of warning prior to the advent of herniation syndromes, or third nerve palsy.

Source: World Neurosurgery - September 26, 2018 Category: Neurosurgery Authors: Salah G. Aoun, Babu G. Welch, Michaela Cortes, Sonja E. Stutzman, Matthew C. MacAllister, Tarek Y. El Ahmadieh, Mohamed Osman, Stephen A. Figueroa, MD; Jonathan A. White, Hunt. H. Batjer, Daiwai M. Olson Tags: Original article Source Type: research