Parapharyngeal neck schwannomas with unusual vascular displacement.

Case Rep Med

Mallinckrodt Institute of Radiology, Washington University School of Medicine in St. Louis, MO, USA.

Published: September 2013

This case report illustrates two unusual cases of parapharyngeal schwannomas mimicking carotid body tumors in terms of characteristic vascular displacement. Carotid body tumors classically cause splaying of internal and external carotid arteries demonstrating the Lyre sign on imaging. Also interestingly, both of these cases were seen in younger ages and include cervical sympathetic chain schwannoma and vagal schwannoma. However, these schwannomas revealed hypovascularity on imaging studies allowing differentiation from hypervascular carotid body tumors. Preoperative distinction between carotid body tumors and schwannomas is very important.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3770022PMC
http://dx.doi.org/10.1155/2013/563019DOI Listing

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