Complications of venous insufficiency after neurotologic-skull base surgery

被引:0
作者
Roberson, JB
Brackmann, DE
Fayad, JN
机构
[1] House Ear Inst, Dept Clin Studies, Los Angeles, CA 90057 USA
[2] House Ear Clin, Los Angeles, CA USA
关键词
neurotologic surgery; skull base surgery; complications; venous insufficiency;
D O I
暂无
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Objective: To characterize the incidence and complications resulting fi om venous insufficiency after neurotologic-skull base surgery. Study Design: Retrospective case review of >3,500 cases. Setting: Tertiary referral center, inpatient surgery. Patients: Six patients: four with complications related to chronic venous insufficiency and two with complications related to acute venous insufficiency. Intervention(s): Medical (steroids, acetazolamide, hyperventilation, mannitol) and surgical (lumboperitoneal shunt, optic nerve decompression, embolectomy) interventions were under taken. Main Outcome Measure(s): Chronic venous insufficiency: nonobstructive hydrocephalus manifested by headache, disequilibrium, and papilledema with resultant visual loss. Acute venous insufficiency: acute nonobstructive hydrocephalus resulting in mental status abnormalities in the: postoperative period. Conclusions: (1) Incidence of 1.5 per 1,000 cases. (2) Acute and chronic forms with different pathogenesis. (3) Acute form presents postoperatively with change in consciousness and herniation, and may proceed to death. (4) Chronic form presents months or years postoperatively with headache, disequilibrium, and visual changes from papilledema. (5) Occurs almost solely in patients with preoperative abnormalities of the venous collecting system. (6) Causes mental status changes postoperatively.
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页码:701 / 705
页数:5
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