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One large pupil, one normal and it’s rarely just an eye problem. When pressure builds inside the skull, it pushes the brain down and compresses the oculomotor nerve. The parasympathetic fibres that constrict the pupil are crushed first, leaving the sympathetic system unopposed and the pupil dilates. A “blown pupil” is an early warning of brain herniation. Recognise it fast, act faster. Learn. Adapt. Respond. | The Medical Lounge
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