Horner´s Syndrome Post-Excision of a Huge Cervical Sympathetic Chain Schwannoma

Schwannoma of the cervical sympathetic chain is a rare nerve tumor. These lesions typically present as an asymptomatic neck mass and are easily mistaken for a carotid body tumor during the initial work-up. In this report, a rarely seen huge cervical sympathetic chain schwannoma case, who experienced partial Horner´s syndrome postoperatively, is presented. We report a case of schwannoma on the cervical sympathetic chain, which to our knowledge is the largest reported in the current literature.

Anahtar Kelimeler:

Schwannoma, Horner´s syndrome, cervical sympathetic chain

Horner´s Syndrome Post-Excision of a Huge Cervical Sympathetic Chain Schwannoma

Keywords:

Schwannoma, Horner´s syndrome, cervical sympathetic chain,

PDF

___

Verocay J. Multiple geschwulste als systemerkrank ung am nervosen. In: Chiari FF. Wien and Leipzig: W. Braunmiller; 1908. pp. 378-415. 2. Bailet JW, Abemayor E, Andrews JC, Rowland JP, Fu YS, Dawson DE. Malignant nerve sheath tumors of the head and neck: a combined experience from two university hospitals. Laryngoscope 1991; 101: 1044-1049. 3.
Myssiorek DJ, Silver CE, Valdes ME. Schwannoma of the cervical
sympathetic chain. J Laryngol Otol 1988; 102: 962-965. 4.
Wax MK, Shiley SG, Robinson JL, Weissman JL. Cervical
sympathetic chain Schwannoma. Laryngoscope 2004; 114: 2210- 2213. 5.
Mikaelian DO, Holmes WF, Simonian SK. Parapharyngeal
Callum EN. Neurinoma of cervical sympathetic chain. Br J Surg 1950; 37: l 17.
Politi M, Toro C, Cian R, Costa F, Robiony M. Horner’s syndrome due to a large schwannoma of the cervical sympathetic chain: report of a case. J Oral Maxillofac Surg 2005; 63: 707-710.
Cullen TH, Monro RS. Cervical neurofibroma in the differential diagnosis of carotid body tumor. Br J Surg 1952; 39: 454-457.
Rogers L. Neurinomas of the cervical sympathetic system with report of a case. Br J Surg 1953; 40: 579-580.
Wang CP, Hsiao JK, Ko JY. Splaying of the carotid bifurcation caused by a cervical sympathetic chain schwannoma. Ann Otol Rhinol Laryngol 2004; 113(9): 696-699.
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(2): 119-124.
Rosner M, Fisher W, Mulligan L. Cervical sympathetic schwannoma: case report. Neurosurgery 2001; 49(6): 1452- 1454.
Takimoto T, Katoh H, Umeda R. Parapharyngeal schwannoma of the cervical sympathetic chain in a child. Int J Pediatr Otorhinolaryngol 1989; 18: 53-58.
Panneton JM, Rusnak BW. Cervical sympathetic chain schwannomas masquerading as carotid body tumors. Ann Vasc Surg 2000; 14(5): 519-524.
Sheridan MF, Yim DWS. Cervical sympathetic schwannoma: a case report and review of the English literature. Otolaryngol Head Neck Surg 1997; 117: 206-210.
Hood RJ, Reibel JF, Jensen ME, Levine PA. Schwannoma of the cervical sympathetic chain. The Virginia experience. Ann Otol Rhinol Laryngol 2000; 109(1): 48-51.
Aygenc E, Selcuk A, Ozdem C. Hypervascular parapharyngeal schwannoma: an unusual case. Auris Nasus Larynx 2002; 29(2): 215-217.
Uzun L, Ugur MB, Ozdemir H. Cervical sympathetic chain schwannoma mimicking a carotid body tumor: a case report. Tumori 2005 Jan-Feb; 91(1): 84-86.
Furukawa M, Furukawa MK, Katoh K, Tsukuda M. Differentiation between schwannoma of the vagus nerve and schwannoma of the cervical sympathetic chain by imaging diagnosis. Laryngoscope 1996 Dec; 106(12 Pt 1): 1548-1552.
Clifton MA. Sympathetic neurilemmoma: an uncommon cause of solitary cervical swelling. J R Coll Surg Edinb 1977; 22: 351- 354.
Kara CO, Topuz B. Horner's syndrome after excision of cervical sympathetic chain schwannoma. Otolaryngol Head Neck Surg 2002; 127(1): 127-128.
Benzoni E, Cojutti A, Intini S, Uzzau A, Bresadola F. Schwannoma of the sympathetic cervical chain as a lateral neck mass. Tumori 2003; 89: 211-212.
Sharaki MM, Talaat M, Hamam SM. Schwannoma of the neck. Clin Otolaryngol Allied Sci 1982; 7: 245-251.
Clairmont AA, Conley JJ. Schwannoma of the cervical sym- pathetic nerve. Ear Nose Throat J 1978; 57: 336-339.
Brandenburg JH. Symposium on malignancy. IV. Neuro-genic minors of the parapharyngeal space. Laryngoscope 1972; 82: 1292-1305.
Daly JF, Roesler HK. Neurilemmomas of the cervical sympa-thetic chain. Arch Ololaryngol 1963; 77: 42-47.
Kragh LV, Soule EH, Masson JK. Benign and malignant neurilemmomas of the head and neck. Surg Gynecol Obstet 1960; 111: 211-218.
Brandt U. Neurinome du sympalhique cervical. Acta Otolaryngol 1953; 43: 503-505.
Rogers L. Neurinomas of the cervical sympathetic system with report of a case. Br J Surg 1953; 40: 579-580.
Mayo CW. Cervical neurofibroma. Surg Gynecol Obstet J 1934; 59: 671-677.
Amano M. Ueber zwei Faelle von Neurinom des Halssym-pathicus. Zentralbl Chir 1934; 61: 7S.
Gibberd GF. Two cases of neurofibroma of the cervical sym- pathetic. Guys Hosp Rep 1924; 74: 367-368.