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January 1, 1984Journal of Neurology Neurosurgery & PsychiatryOpen Access

Parasympathetic denervation of the iris in alcoholics with vagal neuropathy.

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Key result

Alcoholics with cardiac vagal neuropathy exhibited larger resting pupillary diameters and greater pupil responses to methacholine than controls or alcoholics without vagal neuropathy.

Why the study?

Do alcoholics with cardiac vagal neuropathy have altered pupillary parasympathetic responses compared to controls and alcoholics without vagal neuropathy?

Population

30 alcoholics (12 with cardiac vagal neuropathy) and an unspecified number of control subjects

Comparison

Measurement of resting pupillary diameter and… vs Control subjects and alcoholics without vagal…

Design

Cross-sectional

Authors

ETEdward T. H. TanWellington HospitalDLD. G. LambieWellington HospitalRJRalph H. JohnsonMedical University of South Carolina

Discussion

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Implication

Supports systemic parasympathetic denervation in alcoholics with vagal neuropathy; leaves open whether pupillary testing aids diagnosis or prognosis.

Study Design

Type

Observational (n=30)

Structured PICO

Do alcoholics with cardiac vagal neuropathy have altered pupillary parasympathetic responses compared to controls and alcoholics without vagal neuropathy?

P
Population
30 alcoholics, 12 of whom had cardiac vagal neuropathy, evaluated for parasympathetic innervation of the pupil alongside control subjects.
E
Exposure
Measurement of resting pupillary diameter and pupil responses to methacholine
C
Comparator
Control subjects and alcoholics without vagal neuropathy
O
Outcome
Resting pupillary diameter and pupil responses to methacholinesurrogate

Alcoholics with cardiac vagal neuropathy exhibit signs of parasympathetic denervation of the iris, suggesting systemic parasympathetic autonomic neuropathy.

Cite This Study

Tan et al. (1984) conducted an observational in Alcoholism (n=30). Cardiac vagal neuropathy vs. Control subjects or alcoholics without vagal neuropathy was evaluated on Resting pupillary diameters and pupil responses to methacholine. Alcoholics with cardiac vagal neuropathy exhibited larger resting pupillary diameters and greater pupil responses to methacholine than controls or alcoholics without vagal neuropathy.

synapsesocial.com/papers/6a22c3706e437e7e98d2af03https://doi.org/10.1136/jnnp.47.1.61
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1THE SYMPATHETIC NERVOUS SYSTEM IN ALCOHOLIC NEUROPATHY1975 · 85 citations
  2. 2Sympathetic Pupillary Tone in Old Age1976 · 68 citations
  3. 3The Vagus and Sympathetic Nerves in Alcoholic Polyneuropathy1974 · 107 citations
  4. 4Absence of parasympathetic denervation of the iris in alcoholics.1979 · 10 citations