We describe the case of a 37-year-old man with a slowly enlarging neck lump and compressive symptoms. He presented to a separate institution 10 years prior where an observational approach was advocated. Following preoperative investigations and embolization, an 11cm vagal schwannoma was excised and vagus nerve was sacrificed. Although conservative management is appropriate for a select patient population, surgical excision is treatment of choice for cervical neurogenic tumours and paraganglionomas and must be considered in young patients or rapidly expanding tumours to avoid compressive symptoms, as in this case.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
Postauricular Approach for Enucleation of Cervical Vagal Schwannomas.
Head Neck
December 2024
Department of Otorhinolaryngology-Head and Neck Surgery, CHA Bundang Medical Center, CHA University, Seongnam, Republic of Korea.
Background: This study evaluates the outcomes of intracapsular enucleation using the retroauricular hairline incision (RAHI) approach for treating cervical vagal schwannomas.
Methods: A longitudinal study was conducted on patients with cervical vagal schwannomas. Eleven patients who underwent RAHI-based enucleation were included.
Angiosarcoma Arising in a Vagal Schwannoma - Report and Literature Review.
Turk Arch Otorhinolaryngol
October 2024
Department of Otorhinolaryngology, Shaheed Mohtarma Benazir Bhutto Medical College and Lyari General Hospital, Karachi, Pakistan.
Schwannoma and angiosarcoma are rare occurrences. Angiosarcoma's occurrence in a preexisting schwannoma is a very rare event with only fifteen cases reported in the literature. We report the sixteenth case of angiosarcoma arising in a schwannoma, a 30-year-old male patient with a long-standing (15 years) history of right neck lump.
View Article and Find Full Text PDFAtypical Presentation and Postoperative Management of Vagal Nerve Tumors.
Ann Otol Rhinol Laryngol
December 2024
Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
Article Synopsis
- The study focuses on managing tumors involving the vagus nerve, which often don't show obvious symptoms. It highlights various clinical cases and the unique challenges in treatment.
- Five patients with different presentations of vagal nerve tumors underwent surgery, with four experiencing symptom resolution post-operation.
- The findings suggest that innovative approaches, like ligating blood supply to certain tumors instead of complete removal, can effectively alleviate symptoms while preserving nerve function.
Comprehensive analysis of radiological and surgical predictors in cervical sympathetic schwannomas: a novel staging approach and its implications.
Eur Arch Otorhinolaryngol
February 2025
Neuro-Otology, Department of Neurosurgery, SGPGIMS, Lucknow, Uttar Pradesh, India.
Article Synopsis
- - This study focuses on rare cervical sympathetic chain schwannomas (CSCS), aiming to find radiological indicators that could prevent misdiagnosis and help in choosing surgical methods based on tumor characteristics.
- - Researchers analyzed 21 cases, classifying tumors based on their proximity to the carotid sheath, which helped correlate with surgical procedures like vessel ligation and outcomes.
- - Results showed a strong agreement among radiologists on a new tumor classification, highlighting that tumor type influences the need for artery ligation and postoperative complications, underscoring the importance of effective preoperative planning.
Asymptomatic Purely Intracranial Vagal Schwannoma: Clinical Case Report and Literature Review.
Turk Neurosurg
September 2024
Qilu Hospital of Shandong University, Department of Neurosurgery, Jinan, China.
Vagus nerve schwannoma is an infrequently occurring schwannoma, in which a distinct subtype exists wherein the tumor is confined to the cerebellomedullary cistern without invading the jugular foramen. This unique tumor is called purely intracranial vagal schwannoma. In this case report, we present a case of purely intracranial vagal schwannoma in its asymptomatic early phase, incidentally discovered during surgery performed on a patient with hemifacial spasm.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!