Concussion Alters Dynamic Pupillary Light Responses in Children

Jerry Hsu, Magdalena Stec, Hantamalala Ralay Ranaivo, Nina Srdanovic, Sudhi P. Kurup*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Aim: To investigate the impact of concussion on pupillary function in children by examining pupillometric parameters and assessing for differences in children reporting photosensitivity. Methods: Retrospective chart review was performed of pediatric patients referred for visual symptoms after concussion from 2017 to 2018 seen in a single academic outpatient clinic. Pupillometry data of 92 patients were included. Outcomes were compared to normative pediatric data from the same institution by 2-sample t tests. The association between photosensitivity and each outcome was assessed by use of linear mixed models with photosensitivity as a fixed effect and random patient effect. Results: Outcomes of 181 eyes in 92 concussion patients were averaged by patient and compared to normative values in scotopic conditions. Concussion patients had an average age of 13.8 ± 2.64 years. Average constriction velocity (P =.0008), maximum constriction velocity (P =.0012), and average dilation velocity (P =.0034) were faster in concussion patients, whereas 75% recovery times (P =.0027) was increased. Photosensitivity did not significantly affect measured pupillary responses. Conclusion: Dynamic pupillary responses may be increased in pediatric concussion. Pupillometry may provide insight into the complex pathophysiological changes underlying pediatric concussion.

Original languageEnglish (US)
Pages (from-to)195-202
Number of pages8
JournalJournal of child neurology
Volume36
Issue number3
DOIs
StatePublished - Mar 2021

Keywords

  • concussion
  • pediatric
  • pupillometry
  • pupils

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

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