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Papilloedema, an unusual complication of mastoidectomy

Published online by Cambridge University Press:  29 June 2007

P. Harkness ,
R. Dossetor  and
J. Weighill
P. Harkness*
Affiliation:
Department of OtolaryngologyThe Royal Sussex County Hospital, Brighton, UK.
R. Dossetor
Affiliation:
Department of Radiology, The Royal Sussex County Hospital, Brighton, UK.
J. Weighill
Affiliation:
Department of OtolaryngologyThe Royal Sussex County Hospital, Brighton, UK.
*
Address for correspondence: Mr P. Harkness, ENT Department, The Royal Sussex County Hospital, Eastern Road, Brighton BN2 5BE.
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Abstract

We report a very unusual case of a patient with a previously undiagnosed congenital absence of the left dural venous drainage system and a prominent system on the right. Due to its prominence it was at risk during a cortical mastoidectomy performed as part of an endolymphatic sac decompression procedure. Manipulation of the lateral venous sinus resulted in partial occlusion of the already compromised venous drainage. The result was a rise in intra-cranial pressure and papilloedema, from which the patient recovered. The abnormality was only detected on post-operative imaging.

Keywords

Venous sinus, lateralAbnormalities, congenitalPapilloedemaRadiology
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 9 , September 1996 , pp. 878 - 880
Copyright
Copyright © JLO (1984) Limited 1996

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References

Durgan, B., Iiglt, E. T., Cizmeli, M. O., Atasever, A. (1993) Evaluation by angiography of the lateral dominance of the drainage of the dural venous sinuses. Surgical and Radiological Anatomy 15(2): 125–130.Google Scholar
Di Chiro, G., Fisher, R. L., Nelson, K. B. (1964) The jugular foramen. Journal of Neurosurgery 21: 447–460.Google Scholar
Glassman, D. M., Dana, S. E.Handedness and bilateral asymmetry of the jugular foramen. Journal of Forensic Science 37(1): 140–146.CrossRefGoogle Scholar
Purvin, V. A., Trobe, J. D., Komorsky, G. (1995) Neuroophthalmic features of cerebral venous obstruction. Archives of Neurology 52: 880–885.Google Scholar
Tomura, N., Sashi, R., Kobayashi, M., Hirano, H., Hashimoto, M., Watarai, J. (1995) Normal variations of the temporal bone on high-resolution CT: Their incidence and clinical significance. Clinical Radiology 50: 144–148.CrossRefGoogle ScholarPubMed