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Transient oval pupil
  1. Madhavi Karri,
  2. Balakrishnan Ramasamy,
  3. Santhosh Perumal
  1. Neurology, PSG Institute of Medical Sciences and Research, Coimbatore, India
  1. Correspondence to Dr Madhavi Karri, Neurology, PSG Institute of Medical Sciences and Research, Coimbatore 641004, India; dr.madhavikarri{at}

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An 11-year-old boy diagnosed as acute postinfectious glomerulonephritis presented with cluster seizures with features of posterior reversible encephalopathy syndrome by MRI of brain. His blood pressure was 190/110 mm Hg with Glasgow Coma Scale of 7/15 (E2M4V1) with no meningeal signs. During third day of admission, he was noticed to have unilaterally dilated non-reacting right pupil (horizontally oval) (figure 1A) lasting for 2 min and resolved spontaneously (figure 1C) with normal left eye pupil simultaneously (figure 1B,D). He showed no clinical and …

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  • Contributors MK, BR and SP: substantial contributions to the conception or design of the work; or the acquisition, analysis or interpretation of data for the work; drafting the work or revising it critically for important intellectual content; final approval of the version to be published; agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Ethics approval PSG Institute of Medical Sciences & Research institutional Human Ethics Committee Project No. 18/294.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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