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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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