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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Dilated Pupil After Injury?

Hi, my 8yr old grandson fell while ice skating. He fell on the right side of his face around the temple. About one hour later both of his pupils in his eyes were dilated. A short while later after eating dinner, they seem to be back to normal. Is this normal after a fall on ice?
Thu, 29 Jan 2015
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General & Family Physician 's  Response
Hi,
Welcome to the HCM
As any type of injury of head ,which cause changes in size of pupils ,could be the sign of changes in brain and could worse the condition if not treated on time.I would also like to know wether there was loss of consciousness immediatly after fall,or has he got some swelling or change in colour of eyes.
As some time if there is brain haemamma (blood clot),there can be lucid period ,during which person does not get any sign or symptom of injury but as clot increase in size ,then seizures,paralysis or loss of consciousness can happen.
Since it is not necessarily that he has got major issue but since after discussing the risk factors above after head injury,it would be better to get CT brain and discuss with the neurosurgeon to rule out any clot or haematoma.
Hopefully my answer will be helpfull.
Regards,Dr.Maheshwari
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What Causes Dilated Pupil After Injury?

Hi, Welcome to the HCM As any type of injury of head ,which cause changes in size of pupils ,could be the sign of changes in brain and could worse the condition if not treated on time.I would also like to know wether there was loss of consciousness immediatly after fall,or has he got some swelling or change in colour of eyes. As some time if there is brain haemamma (blood clot),there can be lucid period ,during which person does not get any sign or symptom of injury but as clot increase in size ,then seizures,paralysis or loss of consciousness can happen. Since it is not necessarily that he has got major issue but since after discussing the risk factors above after head injury,it would be better to get CT brain and discuss with the neurosurgeon to rule out any clot or haematoma. Hopefully my answer will be helpfull. Regards,Dr.Maheshwari