CC BY-NC-ND 4.0 · Asian J Neurosurg 2019; 14(03): 1013-1016
DOI: 10.4103/ajns.AJNS_58_18
Case Report

Horner's syndrome due to cervical sympathetic chain schwannoma: A rare presentation and review of literature

Harshad Patil
Department of Neurosurgery, Sri Aurobindo Medical College and PG Institute, Indore, Madhya Pradesh
,
Shrikant Rege
Department of Neurosurgery, Sri Aurobindo Medical College and PG Institute, Indore, Madhya Pradesh
› Author Affiliations

Cervical sympathetic chain schwannoma (CSCS) is an extremely rare benign tumor, and it is a diagnostic challenge. We report a case of 45-year-old female who presented with a solitary right cervical swelling with clinical features of Horner's syndrome (HS). She was evaluated with computed tomography, magnetic resonance imaging, and angiography. Surgical excision of the lesion was performed, and the histological examination revealed the diagnosis of schwannoma. Herein, we review the presentation, imaging characteristics, and operative considerations of a patient with a large CSCS, presenting with HS.

Financial support and sponsorship

Nil.




Publication History

Article published online:
09 September 2022

© 2019. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 
  • References

  • 1 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.
  • 2 Bhagat S, Varshney S, Bist SS, Gupta N. Pediatric cervical sympathetic chain schwannoma with horner syndrome: A rare case presentation. Ear Nose Throat J 2014;93:E1-3.
  • 3 Woodruff JM, Louis DN, Scheithauer BW. Schwannoma. Lyon, France: IARC Press; 2000.
  • 4 Pesavento G, Ferlito A, Recher G. Benign solitary schwannoma of the cervical vagus nerve. A case report with a review of the literature. J Laryngol Otol 1979;93:307-16.
  • 5 Som PM, Sacher M, Stollman AL, Biller HF, Lawson W. Common tumors of the parapharyngeal space: Refined imaging diagnosis. Radiology 1988;169:81-5.
  • 6 Kahraman A, Yildirim I, Kiliç MA, Okur E, Demirpolat G. Horner's syndrome from giant schwannoma of the cervical sympathetic chain: Case report. B-ENT 2009;5:111-4.
  • 7 Weissman JL. Nonnodal masses of the neck. In: Som PM, Curtin HD, editors. Head and Neck Imaging. 3rd ed. St. Louis, MO: Mosby-Year Book; 1996. p. 794-822.
  • 8 Wang CP, Hsiao JK, Ko JY. Splaying of the carotid bifurcation caused by a cervical sympathetic chain schwannoma. Ann Otol Rhinol Laryngol 2004;113:696-9.
  • 9 Benzoni E, Cojutti A, Intini S, Uzzau A, Bresadola F. Schwannoma of the sympathetic cervical chain presenting as a lateral cervical mass. Tumori 2003;89:211-2.
  • 10 Aygenc E, Selcuk A, Ozdem C. Hypervascular parapharyngeal schwannoma: An unusual case. Auris Nasus Larynx 2002;29:215-7.
  • 11 Sheridan MF, Yim DW. Cervical sympathetic schwannoma: A case report and review of the English literature. Otolaryngol Head Neck Surg 1997;117:S206-10.
  • 12 Moukarbel RV, Sabri AN. Current management of head and neck schwannomas. Curr Opin Otolaryngol Head Neck Surg 2005;13:117-22.