DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20163480

Cervical vagal nerve ganglioneuroma: a rare case report

Deepak Dalmia, Sanjaya Kumar Behera, Mohammed Ali Motiwala, Bharat Rekhi

Abstract


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.


Keywords


Ganglioneuroma, Thyroplasty, Vagus

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References


Fujino K, Shinohara K, Aoki M, Hashimoto K, Omori K. Intracapsular enucleation of vagus nerve-originated tumours for preservation of neural function. Otolaryngol Head Neck Surg. 2000;123:334-6.

Gilmer-Hill HS, Kline DG. Neurogenic tumours of the cervical vagus nerve: report of four cases and review of the literature. Neurosurgery. 2000;46:1498-503.

Leu YS, Chang KC. Extracranial head and neck schwannomas: A review of 8 years experience. Acta Otolaryngol. 2002;122:435-7.

Chang SC, Schi YM. Neurilemmoma of the vagus nerve: a case report and brief literature review. Laryngoscope. 1984;94:946-9.

Colreavy MP, Lacy PD, Hughes J, Bouchier-Hayes D, Brennan P, O’Dwyer AJ, et al. Head and neck schwannomas – a 10-year review. J Laryngol Otol. 2000;114:119-24.

Green JD Jr, Olsen KD, De Santo LW, Scheithauer BW. Neoplasm of the vagus nerve. Laryngoscope. 1988;98:648-54.

Ford LC, Cruz RM, Rumore GJ, Klein J. Cervical cystic schwannoma of the vagus nerve: diagnostic and surgical challenge. J Otolaryngol. 2003;32:61.

Saito DM, Glastonbury CM, El-Sayed I, Eisele DW. Parapharyngeal space schwannomas. Preoperative imaging determination of the nerve of origin. Arch Otolaryngol Head Neck Surg. 2007;133:662-7.