Transient oval pupil

Abstract

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\u2009mm 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\u2009min and resolved spontaneously (figure 1C) with normal left eye pupil simultaneously (figure 1B,D). He showed no clinical and …