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Cervical sympathetic chain schwannoma.
Mark K Wax1, Samuel G Shiley, Jamie L Robinson
1Department of Otolaryngology/Head and Neck Surgery, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97239, U.S.A. waxm@ohsu.edu
The Laryngoscope
|November 27, 2004
Summary
Cervical sympathetic chain schwannomas are rare nerve tumors. Surgical removal is effective, though patients may experience temporary Horner
Area of Science:
- Oncology
- Neurosurgery
- Head and Neck Surgery
Background:
- Schwannomas are benign nerve sheath tumors.
- Cervical sympathetic chain schwannomas are exceptionally rare.
- Understanding their presentation and management is crucial.
Purpose of the Study:
- To describe the clinical presentation of cervical sympathetic chain schwannomas.
- To detail the surgical management and outcomes.
- To highlight potential postoperative complications.
Main Methods:
- Retrospective chart review of a case series.
- Analysis of four patients with cervical sympathetic chain schwannomas.
- Inclusion of preoperative imaging (MRI, CT).
Main Results:
- Patients presented with asymptomatic masses, enlarging masses, or Horner's syndrome.
- Imaging characteristics were typical for the diagnosis.
- All patients underwent surgical excision.
- Postoperative Horner's syndrome occurred in all patients.
- First bite syndrome occurred in two patients.
Conclusions:
- Cervical sympathetic chain schwannomas are rare.
- Preoperative imaging aids diagnosis.
- First bite syndrome is a potential postoperative complication.
- Long-term prognosis is excellent following surgical management.