Benign episodic unilateral mydriasis (BEUM)

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Benign episodic unilateral mydriasis (BEUM). This usually affects young females. It may rarely occur in children. Fully referenced neurology checklist.

Epidemiological features

  • This usually affects young females
  • It may rarely occur in children
  • It is seen most often in people with migraine

Possible mechanisms

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Clinical features

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Possible associated features

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Differential diagnosis: migraine: types

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Differential diagnosis: others

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Investigations

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Acronym

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References

  1. Yeo DCM, Wijetilleka S, Sharma B, Watts G, Goyal R. Benign episodic unilateral mydriasis in children: presentation and features in 2 young siblings. Can J Ophthalmol 2018; 53:e255-e256.
  2. Balaguer-Santamaria JA, Escofet-Soteras C, Chumbe-Soto G, Escribano-Subias J. Episodic benign unilateral mydriasis. Clinical case in a girl. Rev Neurol 2000; 31:743-745.
  3. Jacobson DM. Benign episodic unilateral mydriasis. Clinical characteristics. Ophthalmology 1995; 102:1623-1627. 
  4. Martín-Santana I, González-Hernández A, Tandón-Cárdenes L, López-Méndez P. Benign episodic mydriasis. Experience in a specialist neuro-ophthalmology clinic of a tertiary hospital. Neurologia 2015; 30:290-294.
  5. Manai R, Timsit S, Rancurel G. Unilateral benign episodic mydriasis. Rev Neurol (Paris) 1995; 151:344-346.
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