Le Quéau F, Kheyar A, Bouzaïene M, Eurin B
Département d'Anesthésie-Réanimation Chirurgicale, Hôpital Saint-Louis, Paris.
Ann Fr Anesth Reanim. 1995;14(1):37-40. doi: 10.1016/s0750-7658(05)80148-0.
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.
报告了一例47岁患者在颊部肿瘤切除及双侧颈部清扫术后出现双侧失明的病例。后部视神经缺血的诊断通过失明特征以及脑部CT扫描和核磁共振成像结果阴性得以证实。文中讨论了动脉粥样硬化、动脉低血压、急性贫血和颅内压升高各自所起的作用。预防措施包括严格控制血压、失血情况和头部位置。