European Archives of Oto-Rhino-Laryngology

, Volume 254, Issue 9–10, pp 478–480 | Cite as

Blindness as a rare complication of neck dissection

  • O. Öğretmenoğlu
  • S. Kaya
  • Ö. F. Ünal
Case Report

Abstract

Blindness is a rare and rather unexpected complication of neck dissection. There have been only a few cases reported to date, all following bilateral neck dissections. We present a case of blindness after one-sided neck dissection and an insidious finding of bilateral common carotid artery occlusion.

Key words

Surgical complications Neck dissection Blindness 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Balm AJM, Brown DH, De Vries WAEJ, Snow GB (1990) Blindness: a potential complication of bilateral neck dissection. J Laryngol Otol 104:154–156PubMedGoogle Scholar
  2. 2.
    Bogousslavsky J, Regli F, Zografos L, Uske A (1987) Opticocerebral syndrome: simultaneous hemodynamic infarction of optic nerve and brain. Neurology 37:263–268PubMedCrossRefGoogle Scholar
  3. 3.
    Carter JE (1985) Chronic ocular ischemia and carotid vascular disease. Stroke 16:721–728PubMedGoogle Scholar
  4. 4.
    Gibbs JM, Wise RJS, Leenders KL, Jones T (1984) Evaluation of cerebral perfusion reserve in patients with carotid artery occlusion. Lancet 1: 310–314PubMedCrossRefGoogle Scholar
  5. 5.
    Gius JA, Grier DH (1950) Venous adaptation following bilaterai radical neck dissection with excision of the jugular veins. Surgery 28:305–321PubMedGoogle Scholar
  6. 6.
    Marks SC, Jaques DA, Hirata RM, Saunders JR (1990) Blindness following bilateral radical neck dissection. Head Neck 12:342–345PubMedGoogle Scholar
  7. 7.
    Medina JE, Nestor MR (1993) Neck dissection. In: Cummings CW, Fredrickson JM, Harker LA, Krause CJ, Schuller DE (eds) Otolaryngology — head and neck surgery. Mosby, St. Louis, pp 1649–1672Google Scholar
  8. 8.
    Strandness DE (1987) Vascular diseases of the extremities. In: Braunwald E, Isselbacher KJ, Petersdorf RG, Wilson JD, Martin JB, Fauci AS (Eds) Harrison's principles of internal medicine. McGraw Hill, New York, pp 1037–1040Google Scholar
  9. 9.
    Sugarbaker ED, Wiley HM (1951) Intracranial pressure studies incident to resection of the internal jugular veins. Cancer 4:242–250PubMedCrossRefGoogle Scholar
  10. 10.
    Torti RA, Ballantyne AJ, Berkeley RG (1964) Sudden blindness after simultaneous bilateral radical neck dissection. Arch Surg 88:135–138Google Scholar
  11. 11.
    Waybright EA, Selhorst JB, Combs J (1982) Anterior ischemic optic neuropathy with internal carotid artery occlusion. Am J Ophthalmol 93:42–47PubMedGoogle Scholar
  12. 12.
    Young LHY, Appen RE (1981) Ischemic oculopathy: a manifestation of carotid artery disease. Arch Neurol 38:358–361PubMedGoogle Scholar

Copyright information

© Springer-Verlag 1997

Authors and Affiliations

  • O. Öğretmenoğlu
    • 1
  • S. Kaya
    • 1
  • Ö. F. Ünal
    • 1
    • 2
  1. 1.Department of Otolaryngology-Head and Neck SurgeryHacettepe University Medical FacultyAnkaraTurkey
  2. 2.Kugu Çikmazi sokak B-31/2Bilkent Çamlik Sitesi BilkentAnkaraTurkey

Personalised recommendations