scholarly journals Cervical vagal nerve ganglioneuroma: a rare case report

Author(s):  
Deepak Dalmia ◽  
Sanjaya Kumar Behera ◽  
Mohammed Ali Motiwala ◽  
Bharat Rekhi

<p class="abstract"><span lang="EN-IN">Ganglioneuromas occurring in the neck are uncommon. Schumacker and Lawrence (1939) stated that cervical ganglioneuroma is a rarest neck tumor. These tumors arise from cells of mantle layer of primitive neural tube and from the neural crest which migrate to a station or intermediate point in the autonomic paraganglionic nervous system. They have thus been described in neck arising elsewhere than from the cervical sympathetic chain e.g. larynx, pharynx and from nodus ganglion of vagus nerve. They may also spread or arise intraspinally. It doesn’t show sex predilection. Both sexes almost equally affected. Most often present as painless, slow growing lateral neck mass. At time of presentation they present with Vocal cord paralysis. Family history may be present. Definite preoperative diagnosis may be difficult and investigations not usually helpful. We are presenting a unique case of management of left cervical vagal nerve ganglioneuroma who presented to us left side neck swelling and hoarseness of voice.</span></p>

2016 ◽  
Vol 8 (3) ◽  
pp. 116-118
Author(s):  
Atishkumar B Gujrathi ◽  
Vijayalaxmi Ambulgekar ◽  
Shrinivas Chavan

ABSTRACT Vagal nerve schwannomas are rare neural sheath tumors. Although schwannomas are generally benign lesions, they are known to enlarge at a rate of 2.5 to 3 mm per year according to published reports. Vagal nerve schwannoma usually occurs between the 3rd and 5th decades of life, it does not show sex predilection, with both sexes being equally affected, and it most often presents as a painless, slow-growing, lateral neck mass. The treatment of choice is complete surgical excision with preservation of the neural pathway, when it is possible. These tumors, in fact, are almost always benign, and a conservative surgical approach is emphasized by most of the authors. Here, we are presenting two cases of cervical vagal schwannoma, both were middle aged females and presenting in the ear, nose, and throat (ENT) department as a painless lateral neck swelling and were operated by horizontal skin crease incision. Of the two cases, we succeeded to secure nerve functions in one case. The clinical features, diagnosis, management, and pathological findings of cervical vagal schwannoma are discussed. How to cite this article Gujrathi AB, Ambulgekar V, Chavan S. Vagal Nerve Schwannoma: Presentation of Two Case Reports. Int J Otorhinolaryngol Clin 2016;8(3):116-118.


2009 ◽  
Vol 16 (02) ◽  
pp. 305-308
Author(s):  
MAHMOOD SHISHEGAR ◽  
A. H. Chohedri ◽  
SEYED ALI MOSAVI ◽  
Mohammad Javad Ashraf ◽  
SEYED HOSSEIN DASTGHEIB HOSSEINI

Schwannomas are benign, slow-growing tumors that arise from Schwann cells of the nerve sheath. Those originatingfrom the sympathetic cervical chain are extremely rare and usually presents as an asymptomatic neck mass. Here we report a case ofschwannoma of the cervical sympathetic chain in a 32-year-old man who had asymptomatic neck mass for 6 months. But it appearedpulsatile due to the anterior displacement of carotid sheath by the mass and thus mimics a carotid body tumor. As discussed in this reportCT scan with contrast is enough for ruling out paraganglioma and imposing extra expense for MRI and angiography is unnecessary .Theonly rare complication encountered after surgery was Horner's syndrome, which required no treatment.


2018 ◽  
Vol 6 (1) ◽  
pp. 307
Author(s):  
Kaushik Bhattacharya ◽  
Somi Dey Sarkar ◽  
Tapan Biswas

Cervical vagal schwannoma is an extremely rare entity, slow growing, solitary, asymptomatic benign neck mass associated with vagus nerve. Definitive pre-operative diagnosis may be difficult and investigations such as fine needle aspiration biopsy (FNAB) have low specificity. Surgical excision is the treatment of choice. We describe a 26-year-old female presenting as right neck mass who underwent surgery. Magnetic resonance imaging was done, and patient was operated under general anaesthesia. Intraoperatively, the tumour was found to be originating from the vagus nerve. Final histopathology confirmed our preoperative suspicion of vagal nerve schwannoma. Vagus nerve schwannomas should be distinguished from other tumours that arise in the neck before planning surgery, to minimize the risk of nerve injury. A careful surgical technique is mandatory for tumour clearance and to reduce postoperative complications.


2020 ◽  
Author(s):  
Zhitao Chen ◽  
Yaoxiang Lin ◽  
Mengxia Li ◽  
Ting Zhang ◽  
Lele Zhang ◽  
...  

Abstract BackgroundPancreatic inflammatory myofibroblastic tumor (IMT) is a relatively rare disease, which is often confused with pancreatic cancer or pancreatic neuroendocrine tumor. Its histological features are fibroblast and myofibroblast proliferation, accompanied by varying degrees of inflammatory cell infiltration. Case presentationHerein, we presented the management of IMT occurring at the neck of pancreas. A 66-year-old female patient was diagnosed as pancreatic neck mass after a series of tests. Then she underwent enucleation of pancreatic neck tumor followed by pathological diagnosis of IMT. Meanwhile, we reviewed the clinical features and pathological diagnosis and treatment of pancreatic IMT which were previously reported. To our knowledge, this is the unique case of enucleation of pancreatic IMT. ConclusionIn the management of pancreatic IMT, we concluded that enucleation may be a safe and efficient surgical method for the management of pancreatic IMT and may also provide a better prognosis. Further accumulation of cases is required to explore the surgical measure of pancreatic IMTs.


Author(s):  
Sweta Shrestha ◽  
Shaili Pradhan ◽  
Ranjita Shrestha Gorkhali

Lipomas are benign tumours of mesenchymal origin (mature adipocytes) that are comparatively uncommon in the oral cavity corresponding to less than 4.4% of all benign oral soft tissue tumors. Clinically, they present as slow growing, soft, asymptomatic masses. Histopathologically, they appear as thinly encapsulated lesion composed of mature adipocytes with inconspicuous vascularity. The pathogenetic mechanisms of oral lipomas are still unclear. They are usually treated by surgical excision and bear excellent prognosis. Here we report a case of intraoral lipoma in 54 year old male patient in the left lower lingual alveolar mucosal region that was treated by surgical excision using electrocautery without any postsurgical complication. One-year follow-up showed no evidence of recurrence.


2020 ◽  
Vol 2020 (1) ◽  
Author(s):  
Edmund Wooi Keat Tan ◽  
Jason Bae Barco ◽  
Mutee Ur Rehman ◽  
Choon Chieh Tan

Abstract Osteomas are slow growing bone tumours and are often asymptomatic. Rarely, they can be present in the temporal bone—only few cases had been reported, with an incidence of 0.1–1%. We describe a case of an osteoma of the temporal bone (retromastoid) found in a 40 year old female, who presented with a slow growing swelling behind the right ear for 9 years. Diagnosis was made on non-contrast computed topography (CT) of the skull. Treatment is indicated in symptomatic cases or cosmetic reasons. Screening colonoscopy and genetic testing for familial adenomatous polyposis (FAP) and Gardner’s syndrome are advised.


2013 ◽  
Vol 9 (1) ◽  
Author(s):  
Parampreet Pannu ◽  
Virat Galhotra ◽  
Pooja Ahluwalia ◽  
Ramandeep Singh Gambhir

Objective: Tooth agenesis is one of the most common congenital anomalies seen in humans. Although ab¬sence of one or more teeth is common, absence of multiple teeth is rare. Oligodontia is a rare developmental anomaly, involving agenesis of six or more permanent teeth, excluding the third molars. The reported preva¬lence of oligodontia in permanent dentition is 0.14%. Oligodontia can be presented as an isolated condition or as a part of a syndrome. Discussion: The present case report highlights a unique case of non-syndromic oligodontia, with agenesis of four permanent incisors, left permanent canine and right second premolar in the mandibular arch and its management with a novel fixed functional prosthetic appliance. Conclusion: Prosthetic rehabilitation is an urgent need for these kind of patients so that they do not suffer from mastica¬tory and esthetic problems which can eventually lower the self esteem of individuals.


2013 ◽  
Vol 2013 ◽  
pp. 1-2 ◽  
Author(s):  
Matthew F. Ryan ◽  
Brandon Allen

Lipomas are slow-growing benign soft-tissue tumors which are typically asymptomatic and occur in approximately 1% of the population. A lipoma is considered to be of excessive size when it is greater than 10 cm in length (in any dimension) or weighs over 1000 g (Kransdorf (1995)). We describe a case of a man presenting with a giant posterior neck mass which greatly reduced the sagittal range of cervical spine. A discussion of the pathophysiology of lipomas and a literature review regarding giant lipomas versus malignancy follows.


2021 ◽  
Author(s):  
Ramya Yeleti ◽  
Maya Guglin ◽  
Kashif Saleem ◽  
Sasikanth V Adigopula ◽  
Anjan Sinha ◽  
...  

We describe a unique case of fulminant myocarditis in a patient with presumed SARS-CoV-2 reinfection. Patient had initial infection 4 months backand had COVID-19 antibody at the time of presentation. Endomyocardial biopsy showed lymphocytic myocarditis, that is usually seen in viral myocarditis. The molecular diagnostic testing of the endomyocardial biopsy for cardiotropic viruses was positive for Parvovirus and negative for SARS-CoV-2. Authors highly suspect co-infection of SARS-CoV-2 and Parvovirus, that possibly triggered the immune cascade resulting in fulminant myocarditis. Patient was hemodynamically unstable with ventricular tachycardia and was supported on VA ECMO and Impella CP. There was impressive recovery of left ventricular function within 48 hours, leading to decannulation of VA ECMO in 72 h. This unique case was written by the survivor herself.


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