Could Hallucinogens Induce Permanent Pupillary Changes in (Ab)users? A Case Report from New Zealand

An eighteen-year-old female patient of the Caucasian ethnicity from Australasia presented with a persistently dilated pupil causing her discomfort and occasional burning sensation when she is outdoors due to oversensitivity to sunlight. However, her pupillary reaction to light (pupillary light refle...

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Main Author: Ahmed Al-Imam
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Neurological Medicine
Online Access:http://dx.doi.org/10.1155/2017/2503762
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author Ahmed Al-Imam
author_facet Ahmed Al-Imam
author_sort Ahmed Al-Imam
collection DOAJ
description An eighteen-year-old female patient of the Caucasian ethnicity from Australasia presented with a persistently dilated pupil causing her discomfort and occasional burning sensation when she is outdoors due to oversensitivity to sunlight. However, her pupillary reaction to light (pupillary light reflex) was intact. The patient is a known user of psychedelic substances (entheogens) including LSD, NBOMe, psilocybin, and DMT. The condition affects both eyes to the same extent. Thorough medical, neurological, and radiological examinations, including an EEG and an MRI of the head and neck region, were completely normal. All these tests failed to detect any pathophysiological or anatomical abnormalities. The patient is a known case of chronic endogenous depression in association with attention deficit hyperactivity disorder, for which she is taking citalopram and Ritalin, respectively. There was neither a family history nor a similar congenital condition in her family.
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spelling doaj-art-7cb3b0636bb4472e889771dc8498e0772025-02-03T01:09:48ZengWileyCase Reports in Neurological Medicine2090-66682090-66762017-01-01201710.1155/2017/25037622503762Could Hallucinogens Induce Permanent Pupillary Changes in (Ab)users? A Case Report from New ZealandAhmed Al-Imam0Novel Psychoactive Substances Unit, Doctoral College, Hertfordshire University, Hertfordshire, UKAn eighteen-year-old female patient of the Caucasian ethnicity from Australasia presented with a persistently dilated pupil causing her discomfort and occasional burning sensation when she is outdoors due to oversensitivity to sunlight. However, her pupillary reaction to light (pupillary light reflex) was intact. The patient is a known user of psychedelic substances (entheogens) including LSD, NBOMe, psilocybin, and DMT. The condition affects both eyes to the same extent. Thorough medical, neurological, and radiological examinations, including an EEG and an MRI of the head and neck region, were completely normal. All these tests failed to detect any pathophysiological or anatomical abnormalities. The patient is a known case of chronic endogenous depression in association with attention deficit hyperactivity disorder, for which she is taking citalopram and Ritalin, respectively. There was neither a family history nor a similar congenital condition in her family.http://dx.doi.org/10.1155/2017/2503762
spellingShingle Ahmed Al-Imam
Could Hallucinogens Induce Permanent Pupillary Changes in (Ab)users? A Case Report from New Zealand
Case Reports in Neurological Medicine
title Could Hallucinogens Induce Permanent Pupillary Changes in (Ab)users? A Case Report from New Zealand
title_full Could Hallucinogens Induce Permanent Pupillary Changes in (Ab)users? A Case Report from New Zealand
title_fullStr Could Hallucinogens Induce Permanent Pupillary Changes in (Ab)users? A Case Report from New Zealand
title_full_unstemmed Could Hallucinogens Induce Permanent Pupillary Changes in (Ab)users? A Case Report from New Zealand
title_short Could Hallucinogens Induce Permanent Pupillary Changes in (Ab)users? A Case Report from New Zealand
title_sort could hallucinogens induce permanent pupillary changes in ab users a case report from new zealand
url http://dx.doi.org/10.1155/2017/2503762
work_keys_str_mv AT ahmedalimam couldhallucinogensinducepermanentpupillarychangesinabusersacasereportfromnewzealand