Cervical sympathetic chain schwannoma: two different clinical presentations

In this report we present 2 cervical sympathetic chain schwannoma (CSCS) cases with different clinical presentations, one being a pulsatile neck mass associated with Horner's syndrome and the other being an asymptomatic neck mass. CSCS usually presents as an asymptomatic neck mass and atypical...

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Bibliographic Details
Published in:Tumori 2007-05, Vol.93 (3), p.305-307
Main Authors: Ozlugedik, Samet, Ozcan, Muge, Unal, Tuba, Unal, Adnan, Tezer, Mesut Sabri, Seckin, Selda
Format: Article
Language:English
Subjects:
Adult
Carotid Body Tumor - diagnosis
Diagnosis, Differential
Female
Head and Neck Neoplasms - complications
Head and Neck Neoplasms - diagnosis
Head and Neck Neoplasms - pathology
Horner Syndrome - etiology
Humans
Male
Middle Aged
Neurilemmoma - complications
Neurilemmoma - diagnosis
Neurilemmoma - pathology
Peripheral Nervous System Neoplasms - complications
Peripheral Nervous System Neoplasms - diagnosis
Peripheral Nervous System Neoplasms - pathology
Tomography, X-Ray Computed
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Summary:In this report we present 2 cervical sympathetic chain schwannoma (CSCS) cases with different clinical presentations, one being a pulsatile neck mass associated with Horner's syndrome and the other being an asymptomatic neck mass. CSCS usually presents as an asymptomatic neck mass and atypical findings such as Horner's syndrome and/or pulsation may occur in rare cases. Pulsatile CSCSs are generally diagnosed as carotid body tumors at initial workup and patients are referred to vascular surgeons. The differences in symptomatology, the preoperative management, and the importance of differential diagnosis are discussed.
ISSN:0300-8916
2038-2529
DOI:10.1177/030089160709300316