Cervical sympathetic schwannoma: Case report

Michael Rosner, Winfield Fisher, Lisa Mulligan*, David G. Kline, Michel Kliot, James N. Campbell

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

27 Scopus citations

Abstract

OBJECTIVE AND IMPORTANCE: Approximately 20 to 27% of neck masses in the parapharyngeal space may be benign nerve sheath tumors. Cervical sympathetic chain schwannomas or vagal nerve schwannomas are most common. We report a patient with a cervical sympathetic chain schwannoma. CLINICAL PRESENTATION: The patient was a 47-year-old Caucasian man with a 7-month history of a painless, enlarging right neck mass. No hoarseness or Horner's syndrome was found preoperatively. Formal head and neck examination in the otolaryngology department revealed no vocal cord dysfunction. INTERVENTION: By use of a standard right carotid incision, a tumor was identified growing from the cervical sympathetic chain posterior to the carotid bifurcation. A gross total resection was performed and a section of the cervical sympathetic chain was sacrificed. CONCLUSION: Cervical sympathetic chain schwannomas are unusual tumors that require microneurosurgical resection for cure. We discuss the differential diagnosis, evaluation, surgical management, and pathological characteristics of such tumors and review the literature.

Original languageEnglish (US)
Pages (from-to)1452-1454
Number of pages3
JournalNeurosurgery
Volume49
Issue number6
DOIs
StatePublished - Jan 1 2001

Keywords

  • Carotid body tumor
  • Cervical sympathetic chain
  • Schwannoma
  • Vagal nerve schwannoma

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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