Case Report: Tadpole pupil and concurrent migraine in an adolescent patient is a novel correlation.

IF 2.1 3区医学 Q2 PEDIATRICS

Frontiers in Pediatrics Pub Date : 2024-10-08 eCollection Date: 2024-01-01 DOI:10.3389/fped.2024.1446691

Alexander Scheid, Rebecca Lise Gammelgaard Henneberg, Jonas Kjeldbjerg Hansen

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Abstract

Background: Tadpole pupil is a rare phenomenon characterized by a brief and irregular deformation of the pupil caused by segmental contraction of the iris dilator muscle. It is most prevalent in adult women and is, in these cases, often associated with migraine.

Case presentation: We present a unique case of a 16-year-old girl who presented with recurrent episodes of tadpole pupil and vestibular migraine. This association has not been previously demonstrated in pediatric patients. During a thorough clinical examination, a thyroid carcinoma was found which due to its localization was not causative of the tadpole pupil and was considered an incidental finding.

Conclusions: The association between migraine and tadpole pupil in this patient, which has not previously been described in pediatric patients, adds to the demographics of tadpole pupil. A possible pathophysiological link between the two conditions is discussed but further research is needed to understand the pathophysiology underpinning it.

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病例报告：青少年患者的蝌蚪瞳和并发偏头痛是一种新的相关性。

背景：蝌蚪瞳是一种罕见的现象，其特征是虹膜扩张肌节段性收缩导致瞳孔短暂而不规则的变形。蝌蚪状瞳孔多见于成年女性，在这些病例中，蝌蚪状瞳孔通常与偏头痛有关：我们介绍了一例独特的病例：一名 16 岁女孩反复发作蝌蚪瞳孔和前庭性偏头痛。这种关联以前从未在儿童患者中证实过。在全面的临床检查中，发现了甲状腺癌，但由于其位置并不是蝌蚪瞳孔的致病原因，因此被认为是偶然发现：结论：该患者的偏头痛与蝌蚪瞳孔之间的关联以前从未在儿童患者中描述过，这增加了蝌蚪瞳孔的人口统计学意义。本文讨论了这两种疾病之间可能存在的病理生理学联系，但还需要进一步研究以了解其病理生理学基础。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Frontiers in Pediatrics Medicine-Pediatrics, Perinatology and Child Health

CiteScore

3.60

自引率

7.70%

发文量

2132

审稿时长

14 weeks

期刊介绍： Frontiers in Pediatrics (Impact Factor 2.33) publishes rigorously peer-reviewed research broadly across the field, from basic to clinical research that meets ongoing challenges in pediatric patient care and child health. Field Chief Editors Arjan Te Pas at Leiden University and Michael L. Moritz at the Children''s Hospital of Pittsburgh are supported by an outstanding Editorial Board of international experts. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. Frontiers in Pediatrics also features Research Topics, Frontiers special theme-focused issues managed by Guest Associate Editors, addressing important areas in pediatrics. In this fashion, Frontiers serves as an outlet to publish the broadest aspects of pediatrics in both basic and clinical research, including high-quality reviews, case reports, editorials and commentaries related to all aspects of pediatrics.