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Diplopia as a sequel of unilateral neck dissection
Madan P Gupta1, Prem Sagar1, Ashutosh Hota1
1Department of Otorhinolaryngology and Head Neck Surgery, All India Institute of Medical Sciences, New Delhi, India.
Head & Neck
|April 5, 2016
Summary
Raised intracranial pressure can occur after unilateral internal jugular vein ligation. Early conservative management is recommended, with surgery reserved for progressive symptoms.
Area of Science:
- Neurology
- Vascular Surgery
Background:
- Unilateral internal jugular vein (IJV) ligation is a rare procedure.
- Complications such as raised intracranial pressure (ICP) can arise post-operatively.
Purpose of the Study:
- To discuss the etiology of raised ICP after unilateral IJV ligation.
- To outline the management protocol for these rare cases.
Main Methods:
- Literature search of PubMed and Google.
- Identification and review of 12 case reports involving 17 patients.
Main Results:
- Common symptoms include headache (70.5%), diplopia (58.8%), and impaired vision (52.9%).
- Aplasia or hypoplasia of the transverse sinus was observed in some patients.
Conclusions:
- Raised ICP is a rare but significant complication of unilateral IJV ligation.
- Magnetic resonance venography (MRV) is crucial for diagnosis.
- Immediate conservative management is advised, with surgical intervention for severe cases.
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