Delayed anterior ischemic optic neuropathy after neck dissection

• Verfasst von: Götte, Karl [VerfasserIn]
• Verfasst von: Riedel, Frank [VerfasserIn]
• Verfasst von: Knorz, Michael C. [VerfasserIn]
• Verfasst von: Hörmann, Karl [VerfasserIn]
• Titel: Delayed anterior ischemic optic neuropathy after neck dissection
• Verf.angabe: Karl Götte, Frank Riedel, Michael C. Knorz, Karl Hörmann
• E-Jahr: 2000
• Jahr: February 2000
• Umfang: 4 S.
• Fussnoten: Gesehen am 18.05.2022
• Titel Quelle: Enthalten in: Archives of otolaryngology - head & neck surgery
• Ort Quelle: Chicago, Ill. : AMA, 1925
• Jahr Quelle: 2000
• Band/Heft Quelle: 126(2000), 2, Seite 220-223
• ISSN Quelle: 1538-361X
• DOI: doi:10.1001/archotol.126.2.220
• Datenträger: Online-Ressource
• Sprache: eng
• K10plus-PPN: 1802479953

Abstract

There are only 2 published cases of anterior ischemic optic neuropathy (AION) occurring after neck dissection, to our knowledge. We report a case of bilateral AION following neck dissection, discuss the differential diagnoses, and compare the features of this case with those of previously described cases. There were none of the previously described risk factors for the development of AION after head and neck surgery (eg, hypotension, facial edema, or sudden massive hemorrhage) in this case, but there was prolonged diffuse postoperative bleeding. Also, the symptoms did not arise before the fifth postoperative day as they did in the other cases. Prolonged, mild postoperative bleeding is a risk factor for AION. Visual loss during the entire first postoperative week has to be regarded as a complication of surgery, requires the exclusion of several differential diagnoses, and must not be confounded with the patient's confusion or symptoms of withdrawal.Arch Otolaryngol Head Neck Surg 2000;126:220-223-->