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Intracranial hypertension following neck dissection

Published online by Cambridge University Press:  29 June 2007

W. A. E. J. de Vries ,
A. J. M. Balm  and
R. M. Tiwari
W. A. E. J. de Vries
Affiliation:
Department of Ophthalmology, Free University Hospital, Amsterdam, The Netherlands.
A. J. M. Balm*
Affiliation:
Department of Otolaryngology and Head & Neck Surgery.
R. M. Tiwari
Affiliation:
Department of Otolaryngology and Head & Neck Surgery.
*
Dr. A. J. M. Balm, Department of Otolaryngology and Head & Neck Surgery, Free University Hospital, de Boelelaan 1117, 1081 HV Amsterdam, The Netherlands.
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Abstract

A 51-year-old man developed prolonged papilloedema as a result of increased cerebrospinal fluid pressure following staged bilateral radical neck dissection. The patient recovered completely with no further specific therapy. Although the prognosis for vision is usually good in patients with longstanding papilloedema due to raised cerebrospinal fluid pressure, permanent visual impairment remains a serious complication. In the presence of anatomical variations of the venous pathways by which the blood leaves the brain, a raised intracranial pressure may also develop following unilateral radical neck dissection. Nine cases of increased intracranial pressure following unilateral radical neck dissection reported in the literature until now are briefly reviewed.

Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 100 , Issue 12 , December 1986 , pp. 1427 - 1432
Copyright
Copyright © JLO (1984) Limited 1986

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