scholarly journals Cervical Sympathetic Chain Schwannoma Masquerading as a Vagus Nerve Schwannoma Complicated by Postoperative Horner’s Syndrome and Facial Pain: A Case Report

2018 ◽  
Vol 49 ◽  
pp. 4-7
Author(s):  
Austin T. Baker ◽  
Tyler J. Homewood ◽  
Terry R. Baker
2015 ◽  
Vol 86 (11) ◽  
pp. e4.169-e4
Author(s):  
Aseel Al-Ansari ◽  
Richard Jon Llewellyn Walters

A 45-year old woman presented with a twelve-month history of intense migraines. She described episodes of blurred vision in association with the headaches, during which she invariably found that one or other of her pupils became dilated with a degree of eyelid retraction on the affected side. These unusual symptoms resolved spontaneously with improvement of the headache.After exclusion of a lesional cause with brain and neck imaging, we concluded that her symptoms were secondary to autonomic dysfunction in relation to her headache.Horner's syndrome is due to paralysis of the ipsilateral cervical sympathetic chain and comprises ptosis, miosis, enopthalmos and anhidrosis. A Reverse Horner's syndrome, otherwise known as Pourfour du Petit, in theory, is the opposite, and comprises eyelid retraction, mydriasis and hyperhidrosis. Where documented, it is attributed to irritation, rather than complete deficiency of the ipsilateral sympathetic chain. Previous case reports have shown that Pourfour du Petit can occur due to the same mechanisms as a Horner's syndrome. In only one other case report has it been described as an autonomic feature in relation to headache.


2012 ◽  
Vol 70 (4) ◽  
pp. 851-855 ◽  
Author(s):  
Laura Villanueva-Alcojol ◽  
Florencio Monje ◽  
Raul Gonzalez-García ◽  
David Gonzalez Ballester ◽  
Jesús Mateo Arias ◽  
...  

2019 ◽  
Vol 29 (1) ◽  
pp. 73-78
Author(s):  
Yusuke Kiyokawa ◽  
Hiroaki Kawabe ◽  
Nobuaki Koide ◽  
Yumiko Tateishi ◽  
Akihisa Tasaki ◽  
...  

2012 ◽  
Vol 2012 ◽  
pp. 1-2 ◽  
Author(s):  
Ramon Vilallonga ◽  
José Manuel Fort ◽  
Alejandro Mazarro ◽  
Oscar Gonzalez ◽  
Enric Caubet ◽  
...  

Horner’s syndrome (HSd) results from an injury along the cervical sympathetic chain, producing ipsilateral miosis, ptosis, enophthalmos, and facial anhydrosis. Although more commonly associated to malignant tumors affecting the preganglionar segment of the sympathetic chain (especially in the lung apex), HSd has been described as a rare complication of thyroid surgery. We herein report a case of HSd after completing total thyroidectomy.


2005 ◽  
Vol 63 (5) ◽  
pp. 707-710 ◽  
Author(s):  
Massimo Politi ◽  
Corrado Toro ◽  
Roberto Cian ◽  
Fabio Costa ◽  
Massimo Robiony

1997 ◽  
Vol 111 (5) ◽  
pp. 493-495 ◽  
Author(s):  
S. Ganesan ◽  
R. P. S. Harar ◽  
R. A. Owen ◽  
R. S. Dawkins ◽  
A. J. Prior

AbstractWe describe a cervical sympathetic chain schwannoma in a 77-year-old woman who presented with a neck mass and Horner's syndrome. Such schwannomas are rare and this is the first documented case of a Horner's syndrome at presentation. The mass was excised via a cervical approach and her post-operative course was uneventful. The prognosis is excellent, with recurrence being rare. A brief discussion of the pathology, presentation, diagnosis, and treatment of this condition is made in this paper. The relevance of the uncertainty in diagnosis is discussed with the message that a pre-operative Homer's syndrome may guide the surgeon in the care of the patient but we suggest that in all cases proper counselling of the possible neurological consequences of this surgery be conducted.


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