Cervical sympathetic chain schwannoma masquerading as a carotid body tumour with a postoperative complication of first-bite syndrome.

Hdl Handle:
http://hdl.handle.net/10147/206279
Title:
Cervical sympathetic chain schwannoma masquerading as a carotid body tumour with a postoperative complication of first-bite syndrome.
Authors:
Casserly, Paula; Kiely, Patrick; Fenton, John E
Affiliation:
Department of ENT, Mid-Western Regional Hospital, Limerick, Ireland., paulacasserly@hotmail.com
Citation:
Eur Arch Otorhinolaryngol. 2009 Oct;266(10):1659-62. Epub 2009 Jan 8.
Journal:
European archives of oto-rhino-laryngology : official journal of the European, Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the, German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
Issue Date:
31-Jan-2012
URI:
http://hdl.handle.net/10147/206279
DOI:
10.1007/s00405-008-0902-7
PubMed ID:
19130071
Abstract:
Carotid body tumours (CBT) are the most common tumours at the carotid bifurcation. Widening of the bifurcation is usually demonstrated on conventional angiography. This sign may also be produced by a schwannoma of the cervical sympathetic plexus. A 45-year-old patient presented with a neck mass. Investigations included contrast-enhanced CT, MRI and magnetic resonance arteriography with contrast enhancement. Radiologically, the mass was considered to be a CBT due to vascular enhancement and splaying of the internal and external carotid arteries. Intraoperatively, it was determined to be a cervical sympathetic chain schwannoma (CSCS). The patient had a postoperative complication of first-bite syndrome (FBS).Although rare, CSCS should be considered in the differential diagnosis for tumours at the carotid bifurcation. Damage to the sympathetic innervation to the parotid gland can result in severe postoperative pain characterised by FBS and should be considered in all patients undergoing surgery involving the parapharyngeal space.
Language:
eng
MeSH:
Autonomic Nervous System Diseases/*diagnosis/pathology/surgery; Carotid Artery, External/pathology; Carotid Artery, Internal/pathology; Carotid Body Tumor/*diagnosis; Diagnosis, Differential; Female; Head and Neck Neoplasms/blood supply/*diagnosis/pathology/surgery; Horner Syndrome/*etiology; Humans; Jugular Veins/pathology; Magnetic Resonance Angiography; Magnetic Resonance Imaging; Middle Aged; Neurilemmoma/blood supply/*diagnosis/pathology/surgery; Peripheral Nervous System Neoplasms/blood supply/*diagnosis/pathology/surgery; Postoperative Complications/*etiology; Tomography, X-Ray Computed
ISSN:
1434-4726 (Electronic); 0937-4477 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorCasserly, Paulaen_GB
dc.contributor.authorKiely, Patricken_GB
dc.contributor.authorFenton, John Een_GB
dc.date.accessioned2012-01-31T16:46:35Z-
dc.date.available2012-01-31T16:46:35Z-
dc.date.issued2012-01-31T16:46:35Z-
dc.identifier.citationEur Arch Otorhinolaryngol. 2009 Oct;266(10):1659-62. Epub 2009 Jan 8.en_GB
dc.identifier.issn1434-4726 (Electronic)en_GB
dc.identifier.issn0937-4477 (Linking)en_GB
dc.identifier.pmid19130071en_GB
dc.identifier.doi10.1007/s00405-008-0902-7en_GB
dc.identifier.urihttp://hdl.handle.net/10147/206279-
dc.description.abstractCarotid body tumours (CBT) are the most common tumours at the carotid bifurcation. Widening of the bifurcation is usually demonstrated on conventional angiography. This sign may also be produced by a schwannoma of the cervical sympathetic plexus. A 45-year-old patient presented with a neck mass. Investigations included contrast-enhanced CT, MRI and magnetic resonance arteriography with contrast enhancement. Radiologically, the mass was considered to be a CBT due to vascular enhancement and splaying of the internal and external carotid arteries. Intraoperatively, it was determined to be a cervical sympathetic chain schwannoma (CSCS). The patient had a postoperative complication of first-bite syndrome (FBS).Although rare, CSCS should be considered in the differential diagnosis for tumours at the carotid bifurcation. Damage to the sympathetic innervation to the parotid gland can result in severe postoperative pain characterised by FBS and should be considered in all patients undergoing surgery involving the parapharyngeal space.en_GB
dc.language.isoengen_GB
dc.subject.meshAutonomic Nervous System Diseases/*diagnosis/pathology/surgeryen_GB
dc.subject.meshCarotid Artery, External/pathologyen_GB
dc.subject.meshCarotid Artery, Internal/pathologyen_GB
dc.subject.meshCarotid Body Tumor/*diagnosisen_GB
dc.subject.meshDiagnosis, Differentialen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHead and Neck Neoplasms/blood supply/*diagnosis/pathology/surgeryen_GB
dc.subject.meshHorner Syndrome/*etiologyen_GB
dc.subject.meshHumansen_GB
dc.subject.meshJugular Veins/pathologyen_GB
dc.subject.meshMagnetic Resonance Angiographyen_GB
dc.subject.meshMagnetic Resonance Imagingen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.meshNeurilemmoma/blood supply/*diagnosis/pathology/surgeryen_GB
dc.subject.meshPeripheral Nervous System Neoplasms/blood supply/*diagnosis/pathology/surgeryen_GB
dc.subject.meshPostoperative Complications/*etiologyen_GB
dc.subject.meshTomography, X-Ray Computeden_GB
dc.titleCervical sympathetic chain schwannoma masquerading as a carotid body tumour with a postoperative complication of first-bite syndrome.en_GB
dc.contributor.departmentDepartment of ENT, Mid-Western Regional Hospital, Limerick, Ireland., paulacasserly@hotmail.comen_GB
dc.identifier.journalEuropean archives of oto-rhino-laryngology : official journal of the European, Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the, German Society for Oto-Rhino-Laryngology - Head and Neck Surgeryen_GB
dc.description.provinceMunster-

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