Intracranial hypertension following neck dissection
Intracranial hypertension following neck dissection
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颈清扫术后颅内高压
DOI：
10.1017/s0022215100101239
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发表时间：
1986
影响因子：
1.7
通讯作者：
R. Tiwari
中科院分区：
文献类型：
--
作者：
W. A. de Vries;A. Balm;R. Tiwari
摘要一位51岁的男性在接受双侧颈淋巴结清扫术后，因脑脊液压力增加而出现持续性的视乳头水肿。患者完全恢复，未接受进一步的特定治疗。虽然由于脑脊液压力升高而长期存在视乳头水肿的患者视力预后通常良好，但永久性视力损害仍然是一种严重的并发症。当血液离开大脑的静脉通路存在解剖变异时，单侧根治性颈淋巴清扫术后也可能出现颅内压升高。本文对文献中所报道的9例单侧颈淋巴结清扫术后颅内压增高的病例作一简要回顾。
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.