Diplopia as a sequel of unilateral neck dissection

Abstract

Background

The purpose of this study was to discuss the underlying etiology of raised intracranial pressure and its sequel after unilateral internal jugular vein ligation. In addition, the management protocol for such rare cases has been discussed along with literature review.
Methods

PubMed and Google were used to search the literature for cases of raised intracranial pressure with complications after unilateral internal jugular vein (IJV) ligation. Twelve case reports with 17 patients were identified.
Results

There were 13 male and 4 female patients ranging between the ages of 26 and 61 years. Headache (n = 12/17; 70.5%), diplopia (n = 10/17; 58.8%), impaired vision (n = 9/17; 52.9%), and aplasia or hypoplasia of the transverse sinus were seen in these patients.
Conclusion

Although very rare, this potential complication after unilateral IJV ligation should be kept in mind. Magnetic resonance venogram (MRV) is the investigation of choice to ascertain the underlying etiology. Conservative management should be started immediately. Surgical options are reserved for patients with progressive symptoms. http://onlinelibrary.wiley.com/doi/10.1002/hed.24428/full

Research details the following neurovascular symptoms as a result of internal jugular vein ligation (surgical removal or closure):
- Raised intracranial pressure
- Headache
- Diplopia (see photo)
- Hypoplasia of the transverse sinus (under development)

http://onlinelibrary.wiley.com/doi/10.1002/hed.24428/full