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Superior sagittal sinus thrombosis complicating neck dissection.

Howe, D J and Henderson, M J and Ahmad, I (2010) Superior sagittal sinus thrombosis complicating neck dissection. The Journal of laryngology and otology, 124 (10). pp. 1126-8. ISSN 1748-5460.

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Abstract

OBJECTIVE

To report a superior sagittal sinus thrombosis occurring as a rare complication of neck dissection, and to present a review of published literature.

CASE REPORT

A 42-year-old man underwent an elective neck dissection for a tumour stage 2, node stage 2b, tonsillar squamous cell carcinoma, prior to chemoradiotherapy. During surgery, the right internal jugular vein was sacrificed as part of the resection, as tumour was adherent to it. Two weeks after surgery, the patient was readmitted with seizures. Subsequent computed tomography and magnetic resonance venography confirmed a superior sagittal sinus thrombosis. The patient was subsequently anticoagulated and underwent radiotherapy without further complication. A review of pre-operative imaging indicated a dominant internal jugular vein, ligation of which may have been a factor in the subsequent sagittal sinus thrombosis.

CONCLUSION

Superior sagittal sinus thrombosis following neck dissection is a rare occurrence, with little reported in the literature. Dominant internal jugular vein anatomy may be evident on pre-operative imaging. An awareness of this complication may be helpful to surgeons contemplating sacrifice of the internal jugular vein.

Item Type: Article
Subjects: WV Otorhinolaryngology. ENT medicine
Divisions: Ambulatory Care > ENT
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Depositing User: Preeti Puligari
Date Deposited: 24 Jun 2014 14:43
Last Modified: 24 Jun 2014 14:43
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/226

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