DISTURBANCES OF THE PUPIL REFLEX ASSOCIATED WITH LESIONS OF THE UPPER VISUAL PATHWAY

In six patients with ischemic lesions of the visual pathways above the lateral geniculate body, the pupil light reflex was investigated under perimetric conditions. The size of the lesions - in four cases caused by lateralized cerebral infarction, in two cases by complicated migraine attacks - was certified by neurological examination and by angiography or computerized tomography respectively. The recordings were done with a portable pupillograph measuring the infrared light reflected from the iris. A Tübinger perimeter served as stimulator. All patients except one, whose visual fields recovered quickly and completely, showed parallel tracings concerning the sensory and the pupillographic profiles, in the older lesions as well as in the recent ones. © 1979 Springer-Verlag.