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A 24-year-old male asked:

unequal pupils r>l, both reactive, intermittent r eye pain and r sided headaches up to 3months. noncontrast ct normal. dizziness past few days. tumor?

3 doctor answers5 doctors weighed in
Dr. Liawaty Ho
Hematology and Oncology 23 years experience
Need eval: You should get a brain MRI with and without contrast to evaluate your brain more detail. Non contrast head ct is only a very limited test. Further w/u is absolutely needed go to see your md right away.
Dr. Edward Druy
Radiology 53 years experience
Need more testing: A noncontrast ct is a good screening exam for many conditions, but may not be as sensitive as mri. You should be examined by a neurologist, and if he feels that it is warranted, a contrast MRI study will afford a more precise diagnosis.
Dr. Brian Broker
ENT and Head and Neck Surgery 30 years experience
Neurologist, MRI: First, don't panic. Uneven pupils, aka anisocoria, are often due to a benign condition like migraines which would also explain the eye pain and headaches. However, more serious causes like multiple sclerosis and brain tumors are possible. You should see a neurologist who will likely order an MRI of the brain as part of a complete evaluation.

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Last updated Jul 13, 2016

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