title: [Postoperative blindness after buccal tumorectomy and bilateral radical neck dissection].
abstract: A case of bilateral blindness in a 47-year-old patient after buccal tumorectomy and bilateral neck dissection is reported. The diagnosis of posterior optic ischaemia was substantiated by the features of blindness and the negativity of cerebral CT-scanography and NMR imaging. The respective roles of atherosclerosis, arterial hypotension, acute anaemia and increased intracranial pressure are discussed. Preventive measures include a strict control of blood pressure, blood loss and head position.
authors.affiliation: Département d'Anesthésie-Réanimation Chirurgicale, Hôpital Saint-Louis, Paris.
authors.forename: F
authors.initials: F
authors.lastname: Le Quéau
authors.forename: A
authors.initials: A
authors.lastname: Kheyar
authors.forename: M
authors.initials: M
authors.lastname: Bouzaïene
authors.forename: B
authors.initials: B
authors.lastname: Eurin
mesh_terms: D001766:Blindness / Q000209:etiology*; D006801:Humans; D007511:Ischemia / Q000209:etiology; D008297:Male; D008875:Middle Aged; D009062:Mouth Neoplasms / Q000601:surgery*; D037981:Neck Dissection / Q000009:adverse effects*; D009901:Optic Nerve Diseases / Q000209:etiology*; D011183:Postoperative Complications
vernacular_title: Cécité postopératoire après tumorectomie buccale et curage cervical bilatéral.