[Postoperative blindness after buccal tumorectomy and bilateral radical neck dissection].
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.
Le Quéau
F
F
Département d'Anesthésie-Réanimation Chirurgicale, Hôpital Saint-Louis, Paris.
Kheyar
A
A
Bouzaïene
M
M
Eurin
B
B
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
Cécité postopératoire après tumorectomie buccale et curage cervical bilatéral.