Cervical sympathetic chain schwannoma: A case report

Nacef, Inès; Kedous, Skander; Attia, Zied; Touati, S.; Gritli, S.

doi:10.1016/j.ejenta.2014.03.006

Cited by 2 publications

(2 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These patients were treated with antibiotics and anti-inflammatory drugs and almost all of them showed complete resolution within 2-3 weeks. This is comparable to the study conducted by Al-Dajani et al 10 . In our study, 24 patients(17.8%) were diagnosed to have lymphadenitis secondary to tuberculosis.…”

Section: Resultssupporting

confidence: 91%

Evaluation of neck swellings in a tertiary care hospital

Shashidhar¹,

Malick²,

Swarnamba³

2022

ijhs

View full text Add to dashboard Cite

Background: Patients presenting to the outpatient department with a neck swelling is of common occurrence which can pose a diagnostic dilemma to the head and neck surgeon. Most of the patients are worried about the possibility of a cancer. Objective: to study clinical presentation of various neck swellings and their management. Methods: Our study is a prospective study conducted in the department of surgical oncology and department of ENT in Karnataka institute of medical sciences, hubballi from July 2019 to December 2021. All patients presenting with a swelling in the head and neck region were included in the study. In the study period of 30 months, a total of 135 patients were included in the study. Results: In our study, out of 135 patients, 25 had swelling in the anterior triangle of neck of which 12 had nodular goitre of thyroid, 11 had papillary carcinoma of thyroid, 1 had medullary carcinoma and 1 had follicular carcinoma of thyroid. Of the 110 patients who had swelling in the posterior triangle of the neck, 60 had reactive lymphadenitis, 24 were due to tubercular lymphadenitis and 18 patients had swelling due to metastatic neck deposits.

show abstract

Section: Resultssupporting

confidence: 91%

Evaluation of neck swellings in a tertiary care hospital

Shashidhar¹,

Malick²,

Swarnamba³

2022

ijhs

View full text Add to dashboard Cite

show abstract

“…Therefore, a tumour arising from the vagus nerve would be located between the carotid artery and IJV, making the CJA measured from the centre of the vagal tumours large regardless of the tumour volume. Conversely, sympathetic and cervical nerve tumours located outside the carotid sheath tend to displace the entire carotid sheath anteriorly 80 – 82 ; thus, the CJA measured from the centre of these tumours should be smaller regardless of the tumour volume. Furthermore, the sympathetic trunk is located in the prevertebral space immediately posterior to the carotid sheath, whereas the cervical nerves are located farther from the carotid sheath in the posterior neck space 81 – 84 .…”

Section: Discussionmentioning

confidence: 99%

Quantification of vessel separation using the carotid-jugular angle to predict the nerve origin of neck peripheral nerve sheath tumours: a pooled analysis of cases from the literature and a single-center cohort

Wong

Huang

Chuang

et al. 2023

International Journal of Surgery

View full text Add to dashboard Cite

Background: Postoperative nerve palsy is a major complication following resection of neck peripheral nerve sheath tumours (PNSTs). Accurate preoperative identification of the nerve origin (NO) can improve surgical outcomes and patient counselling. Material and methods: This study was a retrospective cohort and quantitative analysis of the literature. The authors introduced a parameter, the carotid-jugular angle (CJA), to differentiate the NO. A literature review of neck PNST cases from 2010 to 2022 was conducted. The CJA was measured from eligible imaging data, and quantitative analysis was performed to evaluate the ability of the CJA to predict the NO. External validation was performed using a single-centre cohort from 2008 to 2021. Results: In total, 17 patients from our single-centre cohort and 88 patients from the literature were analyzed. Among them, 53, 45, and 7 patients had sympathetic, vagus, and cervical nerve PNSTs, respectively. Vagus nerve tumours had the largest CJA, followed by sympathetic tumours, whereas cervical nerve tumours had the smallest CJA (P<0.001). Multivariate logistic regression identified a larger CJA as a predictor of vagus NO (P<0.001), and receiver operating characteristic (ROC) analysis showed an area under the curve (AUC) of 0.907 (0.831–0.951) for the CJA to predict vagus NO (P<0.001). External validation showed an AUC of 0.928 (0.727–0.988) (P<0.001). Compared with the AUC of the previously proposed qualitative method (AUC=0.764, 0.673–0.839), that of the CJA was greater (P=0.011). The cut-off value identified to predict vagus NO was greater than or equal to 100°. Receiver operating characteristic analysis showed an AUC of 0.909 (0.837–0.956) for the CJA to predict cervical NO (P<0.001), with a cut-off value less than 38.5°. Conclusions: A CJA greater than or equal to 100° predicted a vagus NO and a CJA less than 100° predicted a non-vagus NO. Moreover, a CJA less than 38.5 was associated with an increased likelihood of cervical NO.

show abstract

Cervical sympathetic chain schwannoma: A case report

Cited by 2 publications

References 10 publications

Evaluation of neck swellings in a tertiary care hospital

Evaluation of neck swellings in a tertiary care hospital

Quantification of vessel separation using the carotid-jugular angle to predict the nerve origin of neck peripheral nerve sheath tumours: a pooled analysis of cases from the literature and a single-center cohort

Contact Info

Product

Resources

About