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Intracranial hypertension following neck dissection

Published online by Cambridge University Press:  29 June 2007

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.

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
Copyright
Copyright © JLO (1984) Limited 1986

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References

Batson, O. V. (1944) Anatomical problems concerned in the study of cerebral blood flow. Federation Proceedings: 4: 139144.Google Scholar
Blervacque, A., Beal, F. and Malbrel, P. (1965) Oedeme papilliaire après intervention au niveau do cou. Bulletins et mémoires de la Société Française d'Ophthalmologie, 65: 135136.Google Scholar
Bulens, C., De Vries, W. A. E. J. and van Crevel, H. (1979) Benign intracranial hypertension. A reprospective and follow-up study. Journal of the Neurological Sciences, 40: 147157.CrossRefGoogle Scholar
Corbett, J. J., Savino, P. J., Thompson, H. S., Kansu, T., Schatz, N. J., Orr, L. S. and Hopson, D. (1982) Visual loss in pseudotumor cerebri. Follow up of 57 patients from 5 to 41 years and a profile of 14 patients with permanent severe visual loss. Archives of Neurology 39: 461474.Google Scholar
Crevel van, H. (1982) Pathogenesis of raised cerebrospinal fluid pressure. Documenta Ophthalmologica, 52: 251257.CrossRefGoogle Scholar
Fitz-Hugh, G. S., Robins, R. B. and Craddock, W. D. (1966) Increased intra-cranial pressure complicating unilateral neck dissection. Laryngoscope 76: 893906.CrossRefGoogle Scholar
Gius, J. A. and Grier, D. H. (1950) Venous adaptation following bilateral radical neck dissection with excision of the jugular veins. Surgery 28: 305321.Google ScholarPubMed
Jones, R. K. (1951) Increased intracranial pressure following radical neck surgery. Archives of Surgery 76: 713719.Google Scholar
Loeb, M. and McQuarrie, D. G. (1968) Management of simultaneous bilateral neck dissection. Surgery, Gynecology and Obstetrics 127: 13221323.Google ScholarPubMed
Marr, W. G. and Chambers, R. G. (1961) Pseudotumor cerebri syndrome. Following unilateral neck dissection. American Journal of Ophthalmology 51: 605611.CrossRefGoogle Scholar
Morfit, H. M. and Cleveland, H. (1958) Permanent increased intracranial pressure following unilateral radical neck dissection. Archives of Surgery 63: 599603.Google Scholar
Sugarbaker, E. D. and Wiley, M. H. (1951) Intracranial pressure studies incident to resection of the internal jugular veins. Cancer, 4: 242250.3.0.CO;2-U>CrossRefGoogle ScholarPubMed
Tobin, H. A. (1972) Increased cerebrospinal fluid pressure following unilateral radical neck dissection. Laryngoscope 82: 817820.CrossRefGoogle ScholarPubMed
Wall, M., Hart, W. M. and Burde, R. M. (1983) Visual field defects in idiopathic intracranial hypertension (pseudotumor cerebri). American Journal of Ophthalmology 96: 654669.CrossRefGoogle ScholarPubMed
Woodhall, B. (1936) Variations of the cranial venous sinuses in the region of the torcular herophili. Archives of Surgery 33: 297314.Google Scholar