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  • Title: Adie's tonic pupil secondary to migraine.
    Author: Purvin VA.
    Journal: J Neuroophthalmol; 1995 Mar; 15(1):43-4. PubMed ID: 7780572.
    Abstract:
    A 46-year-old woman observed transient unilateral mydriasis during a classic migraine attack. One week later she experienced a similar episode after which anisocoria was persistent. Subsequent examination showed the clinical and pharmacologic features of a postganglionic parasympathetic paresis (Adie's tonic pupil). This case confirms the hypothesis that transient mydriasis accompanying migraine is due to interruption of parasympathetic innervation rather than sympathetic overactivity.
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