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Argyll Robertson syndrome

1. No Shinkei Geka. 1977 May;5(5):417-22. [Argyll Robertson Syndrome (author's transl)]. [Article in Japanese] Igata A, Otose H. PMID: 55995 Argyll Robertson (AR) pupils, are characterized by small and irregular pupils that have little to no constriction to light but constricts briskly to near targets (light-near dissociation). The affected pupils initially appear small, and are irregular, but as opposed to the tonic pupil do not maintain increased tone to near targets

Argyll-Robertson syndrome is manifested not only by the above symptom. In addition, patients with the described disease often develop anisocoria (different sizes in the pupils of the left and right eyes), miosis (contraction), and pupil deformity. Also, occasionally with the presence of the mentioned syndrome, they can react to the light in a. Argyll Robertson pupils (AR pupils) are bilateral small pupils that reduce in size on a near object (i.e., they accommodate), but do not constrict when exposed to bright light (i.e., they do not constrict when exposed to light) Argyll Robertson pupil is ascribed to a lesion of intercalated neurons in the midbrain or to damage of inhibitory fibers to the oculomotor nucleus (Loewenfeld, 1969) According to the classical description,* the Argyll Robertson syndrome is characterized by the following essential features: (1) the absence or diminution of the pupillary reflex to light; (2) an active or hyperactive pupillary contraction to near vision, and (3) the presence of miosis Argyll Robertson's syndrome Related people. Douglas Moray Cooper Lamb Argyll Robertson; This is more properly the name of a symptom than a syndrome. Robertson's pupil is a frequent symptom of neurosyphilis, especially tabes dorsalis, and other diseases of the central nervous system, in which the pupil is small and responds slowly or not at.

[Argyll Robertson Syndrome (author's transl)]

Overall, this is a benign process (including Holmes-Adie syndrome) Argyll Robertson Pupil. This lesion is a hallmark of tertiary neurosyphillis. Pupils will NOT constrict to light but they WILL constrict with accommodation. Pupils are small at baseline and usually both involved (although degree may be asymmetrical). More than 40 cases of Ross syndrome have been reported in the medical literature. The exact underlying cause of this disorder is unknown. Argyll Robertson pupil is a condition in which the pupils are small and constrict poorly to light, but do react to accommodation ARGYLL ROBERTSON PUPIL Argyll Robertson described his pupillary syndrome in 1869. The definition should be strict otherwise a whole host of pupillary abnormalities with some degree of light-near dissociation will be so designated. The cardinal features are summarised in table 3. The pupils are not necessaril According to the classical description, the Argyll Robertson 1 ' 2 syndrome is character ized by three essential features: 1. Absence or diminution of the pupillary reflex to light. 2. Active or supposedly hyperactive pupil lary contraction to near vision Argyll Robertson pupils in lymphocytic meningoradiculitis (Bannwarth's syndrome) (Bannwarth's syndrome). Acta Neurol Scand. 1982 Oct; 66 (4):444-453. Schmutzhard E, Stanek G, Pohl P. Polyneuritis cranialis associated with Borrelia burgdorferi. J Neurol Neurosurg Psychiatry

Argyll Robertson Pupils - EyeWik

  1. istered to both eyes and evaluated after 30 to 45
  2. Parinaud's syndrome is an inability to move the eyes up and down. It is caused by compression of the vertical gaze center at the rostral interstitial nucleus of medial longitudinal fasciculus (riMLF). The eyes lose the ability to move upward and down. It is a group of abnormalities of eye movement and pupil dysfunction. It is caused by lesions of the upper brain stem and is named for Henri.
  3. The Argyll Robertson (AR) pupil has been defined as a pupil that is small and constricts poorly to direct light but briskly when a target within reading distance is viewed (light-near dissociation)
  4. Light-near dissociation, also referred to as pupillary light-near dissociation may occur due to weakness of the pupillomotor input, dorsal midbrain syndrome, misdirection of ciliary muscle fibers, or the Argyll Robertson pupil phenomenon. There are other conditions and situations that may cause light-near dissociation and they include: Meningitis
  5. The Argyll Roberson pupil is a small, abnormal pupil with impaired pupillary constriction in response to light. Argyll Robertson pupils are usually caused by tertiary syphilis, but they may also be caused by diabetes or multiple sclerosis
  6. Robertson noted the association between the pupillary syndrome and disease of the spinal cord. Later, the Argyll Robertson pupil was found usually to be the result of neurosyphilis, and it became a cardinal sign of the disease. 6. Robertson reasoned that a lesion in the ciliospinal (sympathetic) nerves was responsible for the syndrome
  7. In Argyll Robertson pupil, both pupils are small and there is no reaction to light, but constriction for looking at near objects still happens. This condition is usually seen at a late stage of the sexually-transmitted infection syphilis and shows that the disease has affected the nervous system

Argyll Robertson was one of the first surgeons to specialise in ophthalmology. Pupillary miosis, inequality, and irregularity, without reaction to light, had been known in cases of tabes dorsalis and dementia paralytica (GPI) since the end of the 18th century Adie syndrome, also called the Holmes-Adie Syndrome, is named after William John Adie, the British neurologist of Australian descent, and Sir Gordon Morgan Holmes, an Irish neurologist. They both reported the condition in 1931, where Adie named it Pseudo-Argyll Robertson pupil. Earlier in 1881, Hugh The Argyll-Robertson syndrome (also phenomenon or paralysis) was named after the ophthalmologist Argyll Robertson (1837-1909). This is a specific form of reflective pupillary rigidity that is typical of neurolues (infestation of the nervous system in the late stages of syphilis disease).. With reflective pupillary rigidity, the reaction of the pupils to light - mostly on both sides - is.

Argyll-Robertson syndrome: causes, signs, treatment

Argyll Robertson pupil is a highly specific sign of neurosyphilis that is defined by the emergence of bilateral pupils, which are small and show a poorly constructive response to light beside a.. 1. Light reflex (Direct & Indirect) pathway.2. Accommodation reflex pathway.3. Anatomical Basis of Argyll Robertson Pupil/ Prostitute's pupil.Share, Support,.. Hello everyone in this video,I will explain the pupil functional abnormalities like Argyll Robertson pupil and adie tonic pupil.plz watch my previous videos.. Argyll Robertson pupils (AR pupils) A third cause of light-near dissociation is Parinaud syndrome, also called dorsal midbrain syndrome. This uncommon syndrome involves vertical gaze palsy associated with pupils that accommodate but do not react..

Argyll Robertson pupil - Wikipedi

  1. Argyll Robertson pupils (AR pupils) are bilateral small pupils that constrict when the patient focuses on a near object (they accommodate), but do not constrict when exposed to bright light (they do not react to light). They were formerly known as prostitute's pupils because of their association with syphilis and because of the convenient mnemonic that, like a prostitute.
  2. pseudo-argyll robertson pupils in optic nerve disease * Paul Levatin and Robert J. Ogilvie Departments of Ophthalmology and Pathology, Permanente Medical Group, Kaiser Foundation Hospital, Oakland, California, U.S.A
  3. Thanks for the comment. Argyll-Robinson and Argyll-Robertson are both terms that are in useage, sometimes even within the same article. I can't find any specific difference spelled out, though I've noticed that Robertson seems to be reserved exclusively for the syndrome when due to syphilis, whereas Robinson is used in a more generalized sense when the syndrome could be due to.
  4. Najpogosteje se Argyll-Robertsonov sindrom pojavlja v poznem sifilisu. Ta patologija je najbolj značilna za reducirano obliko te bolezni. Mimogrede, lahko ga opazimo v zgodnjih fazah spolne bolezni. Ne moremo reči, da simptom Argyll-Robertson opazimo pri paralitičnem sindromu
  5. The disease is classically associated with Argyll-Robertson pupils. This condition is seen in young women and features accommodation reflex, absent light reflex, and absent bilateral deep tendon reflexes. Some of the other classically described but now rare related conditions include: Tabes dorsalgia: related back pai
  6. Nejčastěji se syndrom Argyll-Robertson vyskytuje v pozdním syfilisu. Tato patologie je nejcharakterističtější pro redukovanou formu této nemoci. Mimochodem, to může být pozorováno v raných stadiích pohlavního onemocnění. Nemůžeme říci, že symptom Argyll-Robertson je pozorován při paralytickém syndromu
  7. Diagnosis. The following differential diagnosis is required to exclude the possibility of other diseases. Light -near dissociation is also included with other syndromes like the Anomalous restoration of the third nerve, Argyll Robertson pupils, Tonic pupil, Deafferention, Diabetes

Dorsal Midbrain Syndrome (Parinaud's Syndrome) with Bilateral Superior Oblique Palsy: 43-year-old male referred for evaluation of binocular diplopia. Rahul Bhola, M.D., Ronald V. Keech, M.D. and Richard J. Olson, M.D. February 21, 2005 . Chief Complaint: 43-year-old male referred for evaluation of binocular diplopia References in the ICD-10-CM Index to Diseases and Injuries applicable to the clinical term argyll robertson phenomenon, pupil or syndrome (syphilitic) Argyll Robertson phenomenon, pupil or syndrome (syphilitic) - A52.19 Other symptomatic neurosyphilis. atypical - H57.09 Other anomalies of pupillary functio Syphilis: Argyll robertson pupil (small, irregular, depigmentation of the iris, accommodates but does not react to light). Mixed valve disease: Listen for an accompanying ESM radiating to the carotids of aortic sclerosis. If this is the case you will need to decide which is the predominant lesions and bear in mind that even if the absence of a. The Argyll Robertson pupil is a pupil constricted 1 to 2 mm that reacts to accommodation but is nonreactive to light. It occurs in association with neurosyphilis. Horner's syndrome is sympathetic paralysis of the eye that is caused by interruption of the cervical sympathetic chain

The Argyll Robertson pupil. Thompson HS1, Kardon RH. J Neuroophthalmol. 2006;26(2):134-8 Abstract The Argyll Robertson (AR) pupil has been defined as a pupil that is small and constricts poorly to direct light but briskly when a target within reading distance is viewed (light-near dissociation) Pseudo-Argyll Robertson pupils Development of the accommodative paresis, mid- dilation and light-near dissociation occur in pupils 1,2,5,6 . Convergence retraction nystagmu Douglas Moray Cooper Lamb Argyll Robertson (1837-1909) was a Scottish ophthalmologist. He was the first to describe his eponymous pupillary abnormality among patients with tabes dorsalis. Argyll Robertson was also the first to demonstrate the cholinergic ocular effects of an extract from the Calabar bean, the drug physostigmine

Argyll-Robertson pupil: characterized by small and irregular pupils that constrict briskly to near targets but react with little to no constriction to light. Argyll-Robertson pupil is frequently associated with iris atrophy and is a highly specific sign of neurosyphilis and is treated by managing the underlying cause Argyll Robertson pupil, cranial nerve palsy, drugs, glaucoma, optic nerve problem, Parinaud dorsal midbrain syndrome, tonic pupil, trauma, uveitis Pupil, white See: spot on eye, white or cloud Horner's syndrome (also called oculosympathetic paresis, or Horner syndrome) comprises a constellation of clinical signs including the classic triad of ptosis, miosis and anhidrosis. It results from a lesion to the sympathetic pathway that supply the head and neck region. The causes of Horner's syndrome varies with the age of the patient and site of the lesion The light-rigid pupil induced by long-term administration of neuroleptics and antiparkinson drug in comparison with Argyll-Robertson pupil was also mentioned, and the findings of many authorities who have proposed a peripheral nerve pathogenesis of the Argyll-Robertson syndrome were reviewed

Argyll-Robertson Pupil: Light Near Dissociation - YouTube

Other causes of reflex iridoplegia include Holmes-Adie syndrome, Parinaud syndrome, diabetic neuropathy, brain injury, thiamine deficiency, and mitral regurgitation. History 1869 - Argyll Robertson published his ocular clinical findings of four patients with a spinal disease, now known to be neurosyphilis, in the Edinburgh Medical Journa Argyll Robertson pupil Argyll Robertson pupilClassification & external resources ICD-10 A52.1, H58.0 ICD-9 094.89, 379.45 DiseasesDB 33036 Argyll Robertson Argyll Robertson pupils were named after Douglas Argyll Robertson (1837-1909), a Scottish ophthalmologist and surgeon who described the condition in the mid-1860s in the context of neurosyphilis. In the early 20th century, William John Adie described a second type of pupil that could accommodate but not react Lesions above the oculomotor nucleus tend to cause bilateral pupillary dysfunction; the most common cause is dorsal compression of the midbrain (Parinaud syndrome; p. 358).Neurosyphilis produces Argyll-Robertson pupils— unequal, irregularly miotic pupils with a variable degree of iris atrophy, and light-near dissociation.. The cause of coma may be structural, metabolic, or toxic On the basis of related disorders, the adie syndrome treatment market is segmented into Ross Syndrome, Argyll Robertson Pupil, Guillain-Barre Syndrome, Miller-Fisher Syndrome, and others. On the basis of population, the adie syndrome treatment market is segmented into female and male

Argyll-Robertson pupil. An ocular finding, now of largely historic interest, for a pupil that can focus on a near object (accommodate) but does not react to light, which is classically described in tertiary syphilis. Near-light dissociation is also seen with Adie tonic pupil syndrome, a benign peripheral neuropathy which, in contrast to the. Adie syndrome, also called the Holmes-Adie Syndrome, is named after William John Adie, the British neurologist of Australian descent, and Sir Gordon Morgan Holmes, an Irish neurologist. They both reported the condition in 1931, where Adie named it Pseudo-Argyll Robertson pupil What is the Argyll Robertson pupil? small irregular pupils, pupils constrict to accommodation but not to light, caused by neurosyphilis. What is Horner syndrome? mitosis, ptosis, anhidrosis of affected side, interruption of sympathetic nerve pathway to eye and face. Argyll Robertson pupil The term Argyll Robertson pupils was named after Douglas Argyll Robertson (1837-1909), a Scottish ophthalmologist and surgeon, who described the condition in the mid 1860s in the context of neurosyphilis. In the early 20th century, William John Adie described a second type of pupil that could accommodate but not react

History. The term Argyll Robertson pupils was named after Douglas Argyll Robertson (1837-1909), a Scottish ophthalmologist and surgeon, who described the condition in the mid 1860s in the context of neurosyphilis.. In the early 20th century, William John Adie described a second type of pupil that could accommodate but not react. Adie's tonic pupil is usually associated with a benign. W. J. Adie: Pseudo-Argyll Robertson pupils with absent tendon reflexes. A benign disorder simulating tabes dorsalis. British Medical Journal, London, 1931, I: 928-930. Tonic pupils and absent tendon reflexes: a benign disorder sui generis: its complete and incomplete forms Many of these cases are benign in nature and occur most commonly in young females. 18 Several reported cases have been later found to develop ipsilateral Horner's syndrome, and the initial spasm is attributed to the firing of sick neurons. 18 Thus, clinicians should test for Horner's in these cases. 18 • Argyll-Robertson pupils

Assessment of LND is focused on localizing the lesion, if possible, to distinguish central, more sinister causes (e.g., dorsal midbrain syndrome) from benign causes (e.g. Adie's tonic pupil). Syphilis serology is generally recommended for bilateral simultaneous tonic pupils or the Argyll Robertson pupil (small pupils which are regular which. The Argyll Robertson pupil is rarely seen with the decline of neurosyphilis. The authors report a case of multiple sclerosis who had unilateral Argyll Robertson pupil Etiology. Argyll Robertson pupil is found in late-stage syphilis, a disease caused by the spirochete Treponema pallidum. Neurosyphilis occurs due to an invasion of the cerebrospinal fluid (CSF) by the spirochete which likely occurs soon after the initial acquisition of the disease

Argyll Robertson Pupil - an overview ScienceDirect Topic

Pupils (Argyll Robertson sign) react to accommodation not to the light seen in neurosyphilis : AR, calcification in the ascending aorta C. Bony Developmental Abnormality 1. Large head: Paget's disease High-out failure; defect in remodelling of bone 2. Acromegaly : hypertension, CHF 3. Marfan syndrome (with long narrow face, lens subluxation, long arm, arachnodactyly):AR, aortic dissection. รูม่านตาอาร์กายล์ รอเบิร์ทสัน (อังกฤษ: Argyll Robertson pupils) หรือเรียกย่อว่า รูม่านตาเออาร์ (อังกฤษ: AR pupils) เป็นอาการของรูม่านตาเล็กลงสองข้างที่ลดขนาดลง. This page includes the following topics and synonyms: Neurosyphilis, Tabes Dorsalis, Argyll-Robertson Pupil, Prostitute Pupil, Syphilitic Paresis, Dementia Paralytica, Meningovascular Syphilis

Bruyn GW, Gooddy W. Adie's syndrome. In: Neurological Eponyms, Koehler PJ, Bruyn GW, Pearce JMS (Eds), Oxford University Press, New York 2000. p.181. Adie WJ. PSEUDO-ARGYLL ROBERTSON PUPILS WITH ABSENT TENDON REFLEXES: A BENIGN DISORDER SIMULATING TABES DORSALIS. Br Med J 1931; 1:928. Morgan OG, Symonds CP CiteSeerX - Document Details (Isaac Councill, Lee Giles, Pradeep Teregowda): Though not the first ophthalmic surgeon in Edinburgh, he was the first surgeon to work exclusively on the eye. His father, John Argyll Robertson, worked for many years as a general surgeon with a special interest in ophthalmology eventually spending all his time in ophthalmology Anisocoria Argyll Robertson pupil Marcus Gunn pupil Adie syndrome Miosis Mydriasis Cycloplegia Parinaud's syndrome Other Nystagmus Childhood blindness Infections Trachoma [en.wikipedia.org] Blindness / Vision loss / Visual impairment Anopsia Hemianopsia binasal bitemporal homonymous Quadrantanopia subjective Asthenopia Hemeralopia Photophobia.

Tadpole pupil | Neurology

Miosis in Argyll Robertson Syndrome and Related Pupillary

Argyll Robertson pupil, atypical (exact match) This is the official exact match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that in all cases where the ICD9 code 379.45 was previously used, H57.01 is the appropriate modern ICD10 code Pseudo Argyll Robertson pupil 379.45; Syndrome SEE ALSO See Also A see also instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the see also note when the original main term. Robertson pupil, etc. This is not good practice because (1) the pupil does not correspond to the postulates of Argyll-Robertson and (2) the use of such terms implies that the patient has syphilis. Adie has gone so far as to say, The true Argyll-Robertson sign is an infallible sign of syphilis

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Argyll Robertson's syndrom

Argyll-Robertson Syndrome क्या है? यह विकृति कैसे प्रकट होती है और इसकी घटना का कारण क्या है? इन सभी सवालों के जवाब आपको हमारे लेख की सामग्री से. Horners Syndrome Ptosis, miosis, anhidrosis The abnormal pupil in this syndrome is the smaller, left pupil. Note also the left lid droop (ptosis). Cranial Nerve 3 Palsy Argyll Robertson Pupil Colloquially known as prostitute's pupils. These are pupils that do not constrict to light but will bilaterally accomodate with the near response Argyll Robertson pupil, a condition that causes small pupils that shrink down to focus on objects nearby, which is normal. But the pupils have trouble closing when exposed to bright light Pseudo-Argyll Robertson pupils, i.e., pupils do not react to light but may accommodate 'See-saw nystagmus' The condition is often associated with bilateral papilledema. A thorough workup of the causes of this syndrome through neuro-imaging such as MRI brain is essential before proceeding to any management plan

addison's disease and primary hyperaldosteronism | Nursing

Pupillary Responses Stanford Medicine 25 Stanford Medicin

Diseases of eye

Adie Syndrome - NORD (National Organization for Rare

Presumed ocular histoplasmosis syndrome - Triad. Multiple white, atrophic choroidal scars (punched out) = histo spots Peripapillary pigment changes; CNV (causing maculopathy and no vitreous cells) Argyll Robertson Reflex - ARP. ARP acronym left to right is A(ccomodation) R(eflex) P(resent A patient with a positive Argyll- Robertson finding will exhibit a small pupil that constricts poorly to direct light, but briskly when a near target is presented. 14 The moment you confirm this diagnosis, refer the patient to an infectious disease specialist for appropriate laboratory testing and treatment before further morbidity occurs Horner's syndrome. The infection can affect the midbrain and cause a specific type of miosis called Argyll Robertson pupil. In Argyll Robertson, the pupils are small but don't contract. The Argyll Robertson (AR) pupil refers to small, irregularly shaped pupils bilaterally that can accommodate to a near stimulus but do not react well to direct light stimulus. Historically, this finding indicates neurosyphilis but other conditions can produce AR pupils Argyll Robertson pupil was a sign of tertiary syphilis, it is known today that it might be seen in other disorders, including diabetic neuropathy, Parinaud syndrome, brain injury, thiamine deficiency, and mitral regurgitation. Compliance with ethical standard

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Argyll-Robertson, Pontine haemorrhage, Pilocarpine, Happy (morphine) Argyll Robertson SADE Syphilis, Alcohol, DM, Encephalitis Small muscle wasting Sick sinus syndrome Wernickes and Korsakoffs CANON Confusion, Ataxia, Nystagmus, Ocular palsy, Neuritis Pes Cavus Disease Can Shorten The Foot DM Charcot Marie Tooth Syringomyelia Tabes dorsalis. Horner's syndrome; third nerve palsy; Argyll-Robertson's pupils (less common than the above four) Less commonly, you may have anisocoria secondary to trauma or posterior synechiae. The examiners' questions in this section are predictable: The pathway of light and accommodative reflexes Horner syndrome (Horner's syndrome) results from an interruption of the sympathetic nerve supply to the eye and is characterized by the classic triad of miosis (ie, constricted pupil), partial ptosis, and loss of hemifacial sweating (ie, anhidrosis). The term Horner syndrome is commonly used in English-speaking countries, whereas the term Ber..

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Editorial from The New England Journal of Medicine — The Argyll-Robertson Pupil. Multisystem Inflammatory Syndrome in U.S. Children and Adolescents L.R. Feldstein et al THE essentials of the Argyll Robertson pupil are absolute immobility to light and unimpaired response to the accommodation-convergence, or near, reflex. When, in addition, the pupils are less than 3 mm. in diameter, unequal, and irregular they are, according to Duke-Elder (1949), pathognomonic of tabes or general paresis • Argyll Robertson pupil (irregular, small pupil which reacts sluggishly to light but reacts to accommodation; Case 39) • Optic atrophy (primary). • Examine the sensory system B. Argyll-Robertson pupil C. Foster Kennedy syndrome D. Gradenigo's (petrous apex) syndrome E. Holmes-Adie pupil F. Horner's syndrome G. IIIrd nerve palsy H. Marcus-Gunn pupil (afferent pupillary defect) I. Millard Gubler syndrome (pontine crossed paralysis) J. Parinaud's syndrome K. Pseudo-VI nerve palsy L. Pulsatile exophthalmos M. Ramsay. Thoburn AL (1977) Douglas Argyll Robertson, 1837-1909 Discoverer of the pupillary syndrome. Br J Vener Dis 53:244-246. Google Scholar 6. Grzybowski A, Plant GT (2009) A tribute to Douglas Argyll Robertson in the centenary of his death: his achievements, the influence of his father and his pupil today

Holmes-Adie syndrome (HAS) is a neurological disorder affecting the pupil of the eye and the autonomic nervous system. It is characterized by one eye with a pupil that is larger than normal and constricts slowly in bright light (tonic pupil), along with the absence of deep tendon reflexes, usually in the Achilles tendon Output failure can be the cause of Argyll Robertson pupil and occurs in the setting of diabetes mellitus, peripheral neuropathies, Adie's pupil (see earlier), and the Miller-Fisher variant of acute idiopathic demyelinating polyradiculopathy (see Chapter.49 ). Patients with midbrain compressive and ischemic lesions generally demonstrate large. Approximate Synonyms. Argyll robertson pupil; Argyll robertson pupil (eye condition) ICD-10-CM A52.19 is grouped within Diagnostic Related Group(s) (MS-DRG v 38.0):. 056 Degenerative nervous system disorders with mcc; 057 Degenerative nervous system disorders without mcc; Convert A52.19 to ICD-9-CM. Code History. 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM

Argyll Robertson pupils in lymphocytic meningoradiculitis (Bannwarth's syndrome) Publication Publication. Journal of Neurology, Neurosurgery and Psychiatry: an international peer-reviewed journal for health professionals and researchers in all areas of neurology and neurosurgery, Volume 50 - Issue 3 p. 363- 36 Translations in context of d'Argyll-Robertson in French-English from Reverso Context: Taoufik 0 Fonctions végétatives 1- Troubles pupillaires : Syndrome d'Argyll-Robertson (syphilis) : pupilles petites, irrégulières, inégales, dont le réflexes photomoteur est aboli (direct et consensuel), alors.. Argyll Robertson pupil synonyms, Argyll Robertson pupil pronunciation, Argyll Robertson pupil translation, English dictionary definition of Argyll Robertson pupil. n. 1. A student under the direct supervision of a teacher or professor. However, in pathological anisocoria, abnormally reacting smaller pupils can be caused by Horner's Syndrome. La sérologie syphilitique est systématique bien que la plupart des pupilles d'Argyl Robertson soient d'origine diabétique.: Syphilis serology is systematic although most of the pupils are Argyl Robertson to diabetes.: Taoufik 0 Fonctions végétatives 1- Troubles pupillaires : Syndrome d'Argyll-Robertson (syphilis) : pupilles petites, irrégulières, inégales, dont le réflexes photomoteur.