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Neurologic Complications of Head and Neck Cancer

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Cancer Neurology in Clinical Practice

Abstract

Head and neck cancer accounts for approx 4–5% of all newly diagnosed cases of cancer in the United States, with estimated numbers of diagnoses and deaths in 2000 were 40,300 and 11,700, respectively (1). Worldwide, more than 600,000 new cases are projected annually (2). More than 90% of head and neck cancer is squamous cell carcinoma in histology, and the majority of tumors are associated with smoking and alcohol use (3). Repeated exposure of the upper aerodigestive tract from the oral cavity to the bronchial trees leads to epithelial damage (condemned mucosa syndrome) and initiation of carcinogenesis (4–6).

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References

  1. Greenlee R, Murray T, Bolden S, et al. Cancer statistics. CA Cancer J 2000; 50: 7–33.

    CAS  Google Scholar 

  2. Parkin D, Pisani P, Ferlay J. Estimates of the worldwide incidence of eighteen major cancers in 1980. Int J Cancer 1988; 41: 184–197.

    PubMed  CAS  Google Scholar 

  3. Yokes E, Weichselbaum R, Lippman S, et al. Head and neck cancer. N Engl J Med 1993; 328: 184–194.

    Google Scholar 

  4. Slaughter D, Southwick H, Smejkal W. “Field cancerization” in oral stratified squamous epithelium: clinical implications of multicenter origin. Cancer 1953; 6: 963–968.

    PubMed  CAS  Google Scholar 

  5. Silverman S, Gorsky M, Lozada F. Oral leukoplakia and malignant transformation: a follow-up study of 257 patients. Cancer 1984; 53: 563–568.

    PubMed  Google Scholar 

  6. Strong M, Incze J, Vaughan C. Field cancerization in the aerodigestive tract: its etiology, manifestation, and significance. J Otolaryngol 1984; 110: 45–49.

    Google Scholar 

  7. Califano J, Van der Riet P, Clayman G, et al. A genetic progression model for head and neck cancer: implications for field cancerization. Cancer Res 1996; 56: 2488–2492.

    PubMed  CAS  Google Scholar 

  8. Liciardello J, Spitz M, Hong W. Multiple primary cancers in patients with cancer of the head and neck esophagus and lung. Int J Radiat Oncol Biol Phys 1989; 17: 467–476.

    Google Scholar 

  9. Boyle J, Hakim J, Koch W, et al. The incidence of p53 mutations increase with progression of head and neck cancer. Cancer Res 1994; 53: 4477–4480.

    Google Scholar 

  10. Sidransky D, Hollstein M. Clinical implications of the p53 gene. Ann Rev Med 1996; 47: 285–301.

    PubMed  CAS  Google Scholar 

  11. Chung K, Mukhopadhyay T, Kim J, et al. Discordant p53 mutations in primary head and neck cancer and corresponding second primary cancers of the upper erodigestive tract. Cancer Res 1993; 53: 1676–1683.

    PubMed  CAS  Google Scholar 

  12. Shin D, Kim J, Ro J, et al. Activation of p53 gene in premalignant lesions during head and neck tumorigenesis. Cancer Res 1994; 524: 321–326.

    Google Scholar 

  13. Voravud N, Shin DM, Ro JY, et al. Increased polysomies of chromosomes 7 and 17 during head and neck multistage tumorigenesis. Cancer Res 1993; 53: 2874–2883.

    PubMed  CAS  Google Scholar 

  14. Mao L, Lee D, Tockman M, et al. Microsatellite alterations as clonal markers in the detection of human cancer. Proc Natl Acad Sci USA 1994; 91: 9871–9875.

    PubMed  CAS  Google Scholar 

  15. Grandis JR, Tweardy DJ. Elevated levels of transforming growth factor and epidermal growth factor alpha receptor messenger RNA are early markers of carcinogenesis in head and neck cancer. Cancer Res 1993; 53: 3579–3584.

    PubMed  CAS  Google Scholar 

  16. Van der Riet P, Nawruz H, Hruban RH, et al. Frequent loss of chromosome 9p21–22 early in head and neck cancer progression. Cancer Res 1994; 54: 1156–1168.

    PubMed  Google Scholar 

  17. Hartwell L, Kastan M. Cell cycle control and cancer. Science 1994; 266: 1821–1828.

    PubMed  CAS  Google Scholar 

  18. Kamb A, Gruis N, Weaver-Feldhaus J, et al. A cell cycle regulator potentially involved in the genesis in may tumor types. Science 1994; 264: 436–440.

    PubMed  CAS  Google Scholar 

  19. Wu C, Sloan P, Read A, et al. Deletion mapping on the short aim of chromosomes in squamous cell carcinoma of the oral cavity. Cancer Res 1994; 54: 6484–6488.

    PubMed  CAS  Google Scholar 

  20. Sakai E, Tsuchida N. Most human squamous cell carcinomas in the oral cavity contain mutated p53 tumor-suppressor genes. Oncogene 1992; 7: 927–933.

    PubMed  CAS  Google Scholar 

  21. Shin D, Lee J, Lippman S, et al. P53 expression: predicting recurrence and second primary tumors in head and neck squamous cell carcinoma. J Natl Cancer Inst 1996; 88: 519–529.

    PubMed  CAS  Google Scholar 

  22. Shin D, Charuruks N, Lippman S, et al. P53 protein accumulation and genetic instability in head and neck multistep tumorigenesis. Cancer Epid Biomarkers Prey 2001; 10: 603–609.

    CAS  Google Scholar 

  23. Brennan J, Boyle J, Koch W, et al. Association between cigarette smoking and mutation of the p53 gene in head and neck squamous cell carcinoma. N Engl J Med 1995; 332: 712–717.

    PubMed  CAS  Google Scholar 

  24. Clayman G, El-Naggar A, Lippman S, et al. Adenovirus-mediated p53 gene transfer in patients with advanced recurrent head and neck squamous cell carcinoma. J Clin Oncol 1998; 16: 2221–2232.

    PubMed  CAS  Google Scholar 

  25. Liu T, El-Naggar A, McDonnell T, et al. Apoptosis induction mediated by wild-type p53 adenoviral gene transfer in squamous cell carcinoma of the head and neck. Cancer Res 1995; 55: 3117–3122.

    PubMed  CAS  Google Scholar 

  26. Shah J. Head and Neck Surgery, 2nd ed. Mosby-Wolfe, London, 1996, pp. 189–196.

    Google Scholar 

  27. Weber R, Lichtiger B, Byers R, et al. Electro-surgical dissection for reducing blood loss in head and neck surgery. Head Neck Surg 1989; 11: 318–324.

    CAS  Google Scholar 

  28. Bocca E, Pignataro O. A conservation technique in radical neck dissection. Ann Otol Rhinol Laryngol 1967; 76: 975–978.

    PubMed  CAS  Google Scholar 

  29. Medina J. A rational classification of neck dissections. Otolaryngol Head Neck Surg 1989; 100: 169–176.

    PubMed  CAS  Google Scholar 

  30. Robbins K, Medina J, Wolfe G, et al. Standardizing neck dissection terminology. Official Report of the Academy’ s Committee for Head and Neck Surgery and Oncology. Arch Otolaryngol Head Neck Surg 1991; 117: 601–605.

    PubMed  CAS  Google Scholar 

  31. Byers R. Modified neck dissection. A study of 967 cases from 1970 to 1980. Am J Surg 1985; 150: 414–421.

    PubMed  CAS  Google Scholar 

  32. Peters L, Goepfert H, Ang K, et al. Evaluation of the dose for postoperative radiation therapy of head and neck cancer: first report of a prospective randomized trial. Int J Radiat Oncol Biol Phys 1993; 26: 3–10.

    PubMed  CAS  Google Scholar 

  33. Tupchong L, Scott C, Blitzer P, et al. Randomized study of preoperative versus post-operative radiation therapy in advanced head and neck carcinoma: long term follow up of RTOG Study 73–03. Int J Radiat Oncol Biol Phys 1991; 20: 21–35.

    PubMed  CAS  Google Scholar 

  34. The Department of Veterans Affairs Laryngeal Cancer Study Group. Induction chemotherapy plus radiation compared with surgery plus radiation in patients with advanced laryngeal cancer. N Engl J Med 1991; 324: 1685–1690.

    Google Scholar 

  35. Lefebvre J, Chevalier D, Luboinski B, et al. Larynx preservation in piriform sinus cancer: preliminary results of a European Organization for Research and Treatment of Cancer Phase III trial. J Natl Cancer Inst 1996; 88: 890–899.

    PubMed  CAS  Google Scholar 

  36. Merlano M, Benasso M, Corvo R, et al. Five year update of a randomized trial of alternating radiotherapy and chemotherapy compared with radiotherapy alone in the treatment of unresectable squamous cell carcinoma of the head and neck. J Natl Cancer Inst 1996; 88: 583–589.

    PubMed  CAS  Google Scholar 

  37. Adelstein D, Saxton J, Lavertu P, et al. A phase II randomized trial comparing concurrent chemotherapy and radiotherapy with radiotherapy alone in resectable stage III and IV squamous cell head and neck cancer: preliminary results. Head Neck 1997; 19: 567–575.

    PubMed  CAS  Google Scholar 

  38. Brizel D, Albers M, Fisher S, et al. Hyperfractionated irradiation with or without concurrent chemotherapy for locally advanced head and neck cancer. N Engl J Med 1998; 338: 1798–1804.

    PubMed  CAS  Google Scholar 

  39. Shin D, Khuri F, Glisson B, et al. Phase II study of paclitaxel, ifosfamide, and carboplatin in patients with recurrent or metastatic head and neck squamous cell carcinoma. Cancer 2001; 91: 1316–1323.

    PubMed  CAS  Google Scholar 

  40. Jacobs C, Lyman G, Velez-Garcia E, et al. A phase III randomized study comparing cisplatin and fluorouracil as single agents and in combination for advanced squamous cell carcinoma of the head and neck. J Clin Oncol 1992; 10: 257–263.

    PubMed  CAS  Google Scholar 

  41. Forastiere A, Metch B, Schuller D, et al. Randomized comparison of cisplatin plus fluorouracil and carboplatin plus fluorouracil versus methotrexate in advanced squamous cell carcinoma of the head and neck: a Southwest Oncology Group Study. J Clin Oncol 1992; 10: 1245–1251.

    PubMed  CAS  Google Scholar 

  42. Clavel M, Vermorken J, Cognetti F, et al. Randomized comparison of cisplatin, methotrexate, belomycin, and vincristine (CABO) versus cisplatin and 5-fluorouracil (CF) versus cisplatin (C) in recurrent or matastatic squamous cell carcinoma of the head and neck: a phase III study of the EORTC Head and Neck Cooperative Group. Ann Oncol 1994; 5: 521–526.

    PubMed  CAS  Google Scholar 

  43. Forastiere A, T L, E R, et al. Phase III comparison of high-dose paclitaxel + cisplatin + granulocyte colony stimulating factor versus low-dose paclitaxel + cisplatin in advanced head and neck cancer. Eastern Cooperative Oncology Group Study E1393. J Clin Oncol 2001; 19: 1088–1095.

    PubMed  CAS  Google Scholar 

  44. Shin D, Glisson B, Khuri F, et al. Phase II trial of paclitaxel, ifosfamide, and cisplatin in patients with recurrent head and neck squamous cell carcinoma. J Clin Oncol 1998; 16: 1325–1330.

    PubMed  CAS  Google Scholar 

  45. Neurology 1999;53.

    Google Scholar 

  46. Boerman R, Maassen E, Joosten J, et al. Trigeminal neuropathy secondary to perineural invasion of head and neck carcinomas. Neurology 1999; 53: 213–216.

    PubMed  CAS  Google Scholar 

  47. Clouston P, Sharpe D, Corbett A, et al. Perineural spread of cutaneous head and neck cancer. Its orbital and central neurologic complications. Arch Neurol 1990; 47: 73–77.

    PubMed  CAS  Google Scholar 

  48. Williams L, Mancuso A, Mendenhall. Perineural spread of cutaneous squamous and basal cell carcinoma: CT and MR detection and its impact on patient management and prognosis. IntJ Radiat Oncol Biol Phys 2001; 49: 1061–1069.

    CAS  Google Scholar 

  49. Gormley W, Sekhar L, Wright D, et al. Management and long-term outcome of adenoid cystic carcinoma with intracranial extension: a neurosurgical perspective. Neurosurgery 1996; 38: 1105–1112.

    PubMed  CAS  Google Scholar 

  50. Firlik K, Kondziolka D, Lunsford L, et al. Radiosurgery for recurrent crainial base cancer arising from the head and neck. Head Neck 1996; 18: 160–165.

    PubMed  CAS  Google Scholar 

  51. Mack E, Prados M, Wilson C. Late manifestations of esthesioneuroblastomas in the central nervous system: report of two cases. Neurosurgery 1992; 30: 93–97.

    PubMed  CAS  Google Scholar 

  52. King A, Lam W, Leung S, et al. MRI of local disease in nasopharyngeal carcinoma: tumour extent vs tumour stage. Br J Radiol 1999; 72: 734–741.

    PubMed  CAS  Google Scholar 

  53. Clin Radiol 1992;46:179–183.

    Google Scholar 

  54. Johnson L, Krohel G, Yeon E, et al. Sinus tumors invading the orbit. Ophthalmology 1984; 91: 209–217.

    PubMed  CAS  Google Scholar 

  55. Goldberg R, Rootman J. Clinical characteristics of metastatic orbital tumors. Ophthalmology 1990; 97: 620–624.

    PubMed  CAS  Google Scholar 

  56. Shields C, Shields J, Peggs M. Tumors metastatic to the orbit. Ophthal Plast Reconstr Surg 1988; 4: 73–80.

    PubMed  CAS  Google Scholar 

  57. Larson T, Reese D, Baker HJ, et al. Glomus tympanicum chemodectomas: radiographic and clinical characteristics. Radiology 1987; 163: 801–806.

    PubMed  Google Scholar 

  58. O’Leary M, Shelton C, Giddings N, et al. Glomus tympanicum tumors: a clinical perspective. Laryngoscope 1991; 101: 1038–1043.

    PubMed  Google Scholar 

  59. Urquhart A, Johnson J, Myers E, et al. Glomus vagale: paraganglioma of the vagus nerve. Laryngoscope 1994; 104: 440–445.

    PubMed  CAS  Google Scholar 

  60. Eustacchio S, Leber K, Trummer M, et al. Gamma knife radiosurgery for glomus jugulare tumours. Acta Neurochir (Wien) 1999; 141: 811–818.

    CAS  Google Scholar 

  61. Redman B, Tapazoglou E, Al-Sarraf M. Meningeal carcinomatosis in head and neck cancer. Cancer 1986; 58: 2656–2661.

    PubMed  CAS  Google Scholar 

  62. Olson M, Chernik N, Posner J. Infiltration of the leptomeninges by systemic cancer. Arch Neurol 1974; 30: 122–137.

    PubMed  CAS  Google Scholar 

  63. Wasserstrom W, Glass J, Posner J. Diagnosis and treatment of leptomeningeal metastases from solid tumors: experience with 90 patients. Cancer 1982; 49: 759–772.

    PubMed  CAS  Google Scholar 

  64. Kokkoris C. Leptomeningeal carcinomatosis: how does cancer reach the pia-arachnoid? Cancer 1983; 51: 154–160.

    PubMed  CAS  Google Scholar 

  65. Banerjee T, Gottschalk P. Unusual manifestations of multiple cranial nerve palsies and mandibular metastasis in a patient with squamous cell carcinoma of the lip. Cancer 1984; 53: 346–348.

    PubMed  CAS  Google Scholar 

  66. Posner J, Chernik N. Intracranial metastases from systemic cancer. Adv Neurol 1978; 19: 579–592.

    PubMed  CAS  Google Scholar 

  67. Zimm S, Wampler G, Stablein D, et al. Intracerebral metastases in solid-tumor patients: natural history and results of treatment. Cancer 1981; 48: 384–394.

    PubMed  CAS  Google Scholar 

  68. Papac R. Distant metastases from head and neck cancer. Cancer 1984; 53: 342–345.

    PubMed  CAS  Google Scholar 

  69. Talmi Y, Cotlear D, Waller A, et al. Distant metastases in terminal head and neck cancer patients. J Laryngol Otol 1997; 111: 454–458.

    PubMed  CAS  Google Scholar 

  70. Merino O, Lindberg R, Fletcher G. An analysis of distant metastases from squamous cell carcinoma of the upper respiratory and digestive tracts. Cancer 1977; 40: 145–151.

    PubMed  CAS  Google Scholar 

  71. Gilbert R, Kim J-H, Posner J. Epidural spinal cord compression from metastatis tumor: diagnosis and treatment. Ann Neurol 1978; 3: 40–51.

    PubMed  CAS  Google Scholar 

  72. Greenberg H, Kim J-H, Posner J. Epidural spinal cord compression from metastatic tumor: results with a new treatment protocol. Ann Neurol 1980; 8: 361–366.

    PubMed  CAS  Google Scholar 

  73. Schiff D, O’Neill B, Wang C-H, et al. Neuroimaging and treatment implications of patients with multiple spinal epidural metastases. Cancer 1998; 83: 1593–1601.

    PubMed  CAS  Google Scholar 

  74. Ampil F, Nanda A, Aarstad R, et al. Spinal epidural compression in head and neck cancer. Report of five cases. J Craniomaxillofac Surg 1994; 22: 49–52.

    PubMed  CAS  Google Scholar 

  75. Stell P, Dalby J, Singh S, et al. The fixed cervical lymph node. Cancer 1984; 53: 336–341.

    PubMed  CAS  Google Scholar 

  76. Kori S, Foley K, Posner J. Brachial plexus lesions in patients with cancer: 100 cases. Neurology 1981; 31: 45–50.

    PubMed  CAS  Google Scholar 

  77. Cascino T, Kori S, Krol G, et al. CT of the brachial plexus in patients with cancer. Neurology 1983; 33: 1553–1557.

    PubMed  CAS  Google Scholar 

  78. Bruyn G. Glossopharyngeal neuralgia. Cephalgia 1983; 3: 143–157.

    CAS  Google Scholar 

  79. Papay F, Roberts J, Wegryn T, et al. Evaluation of syncope from head and neck cancer. Laryngoscope 1989; 99: 382–388.

    PubMed  CAS  Google Scholar 

  80. Macdonald D, Strong E, Nielsen S, et al. Syncope from head and neck cancer. J Neurooncol 1983; 1: 257–267.

    PubMed  CAS  Google Scholar 

  81. Bauer C, Redleaf M, Gartlan M, et al. Carotid sinus syncope in head and neck cancer. Laryngoscope 1994; 104: 497–503.

    PubMed  CAS  Google Scholar 

  82. Onrot J, Wiley RG, Fogo A, Robertson D, Hollister AS. Neck tumor with paroxysmal syncope due to sympathetic withdrawal. J Neurol Neurosurg Psychiat 1987; 50: 1603–1066.

    Google Scholar 

  83. Minotti A, Kountakis S, Stiernberg C. Paraneoplastic syndromes in patients with head and neck cancer. Am J Otolaryngol 1994; 15: 336–343.

    PubMed  CAS  Google Scholar 

  84. Swift T. Involvement of peripheral nerves in radical neck dissection. Am J Surg 1970; 119: 694–698.

    PubMed  CAS  Google Scholar 

  85. American Journal of Surgery 1970;119:695.

    Google Scholar 

  86. Karam F, Schaefer S, Cherryholmes D, et al. Carotid artery resection and replacement in patients with head and neck malignant tumors. J Cardiovasc Surg 1990; 31: 697–701.

    CAS  Google Scholar 

  87. Porto D, Adams G, Foster C. Emergency management of carotid artery rupture. Am J Otolaryngol 1986; 7: 213–217.

    PubMed  CAS  Google Scholar 

  88. Chaloupka J, Putman C, Citardi M, et al. Endovascular therapy for the carotid blowout syndrome in head and neck surgical patients: diagnostic and managerial considerations. Am J Neuroradiol 1996; 17: 843–852.

    PubMed  CAS  Google Scholar 

  89. Lam B, Schatz N, Glaser J, et al. Pseudotumor cerebri from cranial venous obstruction. Ophthalmology 1992; 99: 706–712.

    PubMed  CAS  Google Scholar 

  90. Lydiatt D, Ogren F, Lydiatt W, et al. Increased intracranial pressure as a complication of unilateral radical neck dissection in a patient with congenital absence of the transverse sinus. Head Neck 1991; 13: 359–362.

    PubMed  CAS  Google Scholar 

  91. Jeremic B, Djuric L, Mijatovic L. Incidence of radiation myelitis of the cervical spinal cord at doses of 5500 cGy or greater. Cancer 1991; 68: 2138–2141.

    PubMed  CAS  Google Scholar 

  92. Abbatucci J, Delozier T, Quint R, et al. Radiation myelopathy of the cervical spinal cord: time, dose and volume factors. hit J Radiat Oncol Biol Phys 1978; 4: 239–248.

    CAS  Google Scholar 

  93. Rottenberg D, Chernik N, Deck M, et al. Cerebral necrosis following radiotherapy of extracranial neoplasms. Ann Neurol 1977; 1: 339–357.

    PubMed  CAS  Google Scholar 

  94. Berger P, Bataini J. Radiation-induced cranial nerve palsy. Cancer 1977; 40: 152–155.

    PubMed  CAS  Google Scholar 

  95. Conomy J, Kellermeyer R. Delayed cerebrovascular consequences of therapeutic radiation. Cancer 1975; 36: 1702–1708.

    PubMed  CAS  Google Scholar 

  96. Silverberg G, Britt R, Goffinet D. Radiation-induced carotid artery disease. Cancer 1978; 41: 130–137.

    PubMed  CAS  Google Scholar 

  97. Murros K, Toole J. The effect of radiation on carotid arteries. Arch Neurol 1989; 46: 449–455.

    PubMed  CAS  Google Scholar 

  98. Lopez M, El-Bayar H, Hye R, et al. Carotid artery disease in patients with head and neck carcinoma. Am Surg 1990; 56: 778–781.

    PubMed  CAS  Google Scholar 

  99. Hamers F, Gispen W, Neijt J. Neurotoxic side-effects of cisplatin. Eur J Cancer 1991; 27: 372–376.

    CAS  Google Scholar 

  100. Bertolone S, Baum E, Krivit W, et al. A phase II study of cisplatin therapy in recurrent childhood brain tumors. J Neurooncol 1989; 7: 5–11.

    PubMed  CAS  Google Scholar 

  101. Bloss J, DiSaia P, Mannel R, et al. Radiation myelitis: a complication of concurrent cisplatin and 5-fluorouracil chemotherapy with extended field radiotherapy for carcinoma of the uterine cervix. Gynecol Oncol 1991; 43: 305–308.

    PubMed  CAS  Google Scholar 

  102. Denham J, Abbot R. Concurrent cisplatin, infusional fluorouracil, and conventional fractionated radiation therapy in head and neck cancer: dose-limiting mucosal toxicity. J Clin Oncol 1991; 9: 458–463.

    PubMed  CAS  Google Scholar 

  103. Phillips P, Reinhard C. Antipyrimidine neurotoxicity: cytosine arabinoside and 5-fluorouracil. In: Neurological Complications of Cancer Treatment. Rottenberg DA, ed. Butterworth-Heinemann, Boston, 1991, pp. 97–114.

    Google Scholar 

  104. Forsyth P, Balmaeda C, Peterson K, et al. Prospective study of paclitaxel-induced peripheral neuropath with quantitative sensory testing. J Neurooncol 1997; 35: 47–53.

    PubMed  CAS  Google Scholar 

  105. Postma T, Vermorken J, Liefting A, et al. Paclitaxel-induced neuropathy. Ann Oncol 1995; 6: 489–494.

    PubMed  CAS  Google Scholar 

  106. Frazein A, Wasserheit C, Hochster H, et al. High rate of peripheral neuropathy may limit paclitaxel (T) and cisplatin (DDP) combination in women with advanced breast cancer. Proc Am Soc Clin Oncol 1995; 14: 145a.

    Google Scholar 

  107. Freilich R, Balmaceda C, Seidman A, et al. Motor neuropathy due to docetaxel and paclitaxel. Neurology 1996; 47: 115–118.

    PubMed  CAS  Google Scholar 

  108. Liu M, Chen Y, Chae Y, et al. Paclitaxel-induced severe neuropathy in patients with previous radiotherapy to the head and neck region. J Natl Cancer Inst 1996; 88: 1000–1002.

    PubMed  CAS  Google Scholar 

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Schiff, D., Shin, D.M., Moots, P.L., Wiley, R.G. (2003). Neurologic Complications of Head and Neck Cancer. In: Schiff, D., Wen, P.Y. (eds) Cancer Neurology in Clinical Practice. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-317-0_30

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