Schwannoma of the cervical vagus nerve: a rare case report

Authors

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20175638

Keywords:

Schwannoma, Neurilemoma, Vagus

Abstract

Schwannomas, also called as neurilemomas, are well-encapsulated, slowly growing tumors that arise from schwann cells of peripheral nerves. Clinically, schwannomas present as asymptomatic, slowly enlarging lateral neck masses and so they tend to present late. The nerve of origin is not often made until the time of surgery. Preoperative diagnosis is aided by imaging studies such as magnetic resonance imaging and computed tomography. The treatment of choice of schwannomas of the neck typically involves complete surgical resection. Rapidly growing tumors with evidence of invasion, or complete loss of nerve function should trigger complete surgical excision of the tumor. Here, we report a rare case of cervical vagal schwannoma in a 45 year old female who got admitted with the complaint of a firm, painless mass on the left side of the neck. The management of the case is discussed along with the relevant literature.

Author Biography

Chandra Mohan Setty L. N., Department of Otolaryngology and Head and Neck Surgery, Mahatma Gandhi Hospital, Warangal, Telangana

DEPARTMENT OF OTOLARYNGOLOGY AND HEAD AND NECK SURGERY.

References

De Araujo CE, Ramos DM, Moyses RA, Durazzo MD, Cernea CR, Ferraz AR, et al. Neck nerve trunks schwannomas: clinical features and postoperative neurologic outcome. Laryngoscope. 2008;118(9):1579-82.

Zhang H, Cai C, Wang S. Extracranial head and neck schwannomas: a clinical analysis of 33 patients. Laryngoscope. 2007;117(2):278-81.

Peripheral nerve tumours. Jörg christian tonn, Manfred westphal, Rutka JT. Oncology of CNS Tumors. 2nd ed. Springer; 2010: 752.

Batsakis JG. Tumours of the peripheral nervous system 2nd ed. Williams and Wilkins Baltimore; 1979:313–33.

Putney FJ, Moran JJ, Thomas GK. Neurogenic tumors of the head and neck. The Laryngoscope. 1964;74(8):1037-59.

Chiofalo MG, Longo F, Marone U, Franco R, Petrillo A, Pezzullo L, et al. Cervical vagal schwannoma a case report. Acta Otorhinolaryngol Ital. 2009;29(1):33–5.

Lahoti BK, Kaushal M, Garge S, Aggarwal G. Extra vestibular schwannoma: a two year experience. Indian J Otolaryngol Head Neck Surg. 2011;63:305–9.

Giraddi G, Shrinivas S, Vanaki R, Puranik S. Schwannoma of Parapharyngeal Space. J Maxillofac Oral Surg. 2010;9(2):182–5.

Martin M, Donald D. Benign lesions. In: Donald D. Oral and Maxillofacial Radiology: A Diagnostic Approach.1st edition: Wiley-Blackwell; 2011: 283.

Kang GCW, Soo KC, Lim DTH. Extracranial non-vestibular head and neck schwannomas: a ten year experience. Ann Acad Med Singapore. 2007;36(4):233-40.

Lin CC, Wang CC, Liu SA, Wang CP, Chen WH. Cervical sympathetic chain schwannoma. J Formos Med Assoc. 2007;106(11):956-60.

Rich JT, Nussenbaum B. Paragangliomas of the Head and Neck. In: Gullane PJ, Goldstein DP, Sataloff RT. Sataloff's comprehensive textbook of otolaryngology head and neck surgery 1st ed. Vol 5: Jaypee publications; 2016: 366.

Ransohoff J, Potanos J, Boschenstein F, Pool JL. Total Removal of Recurrent Acoustic Tumours. J Neurosurg. 1961;18(6):804-10.

Valentino J, Boggess MA, Ellis JL, Hester TO, Jones RO. Expected neurologic outcomes for surgical treatment of cervical neurilemomas. Laryngoscope. 1998;108(7):1009-13.

Torossian JM, Beziat JL, Abou Chebel N, Devouassoux Shisheboran M, Fischer G. Extracranial cephalic schwannomas: A series of 15 patients. J Craniofac Surg. 1999;10:389-94.

Illuminati G, Pizzardi G, Minni A, Masci F, Ciamberlano B, Pasqua R, et al. Superiority of resection over enucleation for schwannomas of the cervical vagus nerve: A retrospective cohort study of 22 consecutive patients. Int J Surg. 2016;29:74-8.

Downloads

Published

2017-12-22