Related Experiment Video
Updated: May 30, 2025
Surgical Technique for Superior Cervical Ganglionectomy in a Murine Model
Published on: December 2, 2022
Cervical sympathetic paraganglioma: A rare case managed with embolization and surgery with successful nerve recovery
Ivan Raguž1, Andro Košec2, Vladimir Kalousek3
1University Hospital Center "Sestre Milosrdnice", Department of Otorhinolaryngology and Head and Neck Surgery, Vinogradska cesta 29, 10000 Zagreb, Croatia.
Introduction And Importance:
Sympathetic paragangliomas are rare neuroendocrine tumors arising from the sympathetic nervous system.
Case Presentation:
We present a case of a 48-year-old woman with an extremely rare paraganglioma arising from the cervical sympathetic chain that was presented to the emergency department with symptoms of respiratory insufficiency and dysphagia. Imaging revealed a highly vascularized tumor originating from the jugular fossa. After preoperative embolization, the tumor was successfully surgically resected.
Clinical Discussion:
Post-surgery, the patient had right facial nerve paralysis (House-Brackmann grade VI/V), which improved to grade 2 at three months follow-up, with no evidence of recurrence. A multifaceted approach to this challenging problem was analyzed alongside recent relevant literature.
Conclusion:
This case contributes to refining therapeutic algorithms with minimal complications.
