Sympathetic Chain Schwannoma – a Case Report

Česká verze

Authors: B. Synková ¹; R. Holý ¹; P. Fundová ¹; J. Rotnágl ¹ ; L. Dzan ² ; J. Astl ¹
Authors place of work: Klinika otorhinolaryngologie a maxilofaciální chirurgie 3. LF UK a ÚVN – VFN Praha ¹; Oddělení ústní, čelistní a obličejové chirurgie, Krajská nemocnice Liberec, a. s. ²
Published in the journal: Cesk Slov Neurol N 2016; 79/112(3): 343-346
Category: Kazuistika

Summary

In this paper, we present a case report of an asymptomatic tumour of the upper mediastinum, incidentally found by MRI for lateral neck cyst. The tumour was surgically removed, preserving the neck sympathetic fibres. However, postoperative course was complicated by the Horner’s syndrome that spontaneously resolved. A sympathetic schwannoma was confirmed by histology.

Key words:
schwannoma – sympathetic chain – Horner‘s syndrome

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers.

Zdroje

1. Narayanaswamy Chetty YV, Pankaja SS, Kulkarni SV, et al. Benign paravertebral ancient neurilemmoma in a young adult: a rare occurrence. J Clin Dian Res 2015;9(1):PD11–3. doi: 10.7860/JCDR/ 2015/ 10728.5427.

2. Zvěřina E. Neurinom akustiku – vestibulární schwannom – osobní pohled na nejmodernější postupy v jeho léčbě. Cas Lek Cesk 2010;149(6):269–76.

3. Betka J, Zvěřina E, Lisý J, et al. Vestibulární schwannom. Otorinolaryng a Foniatr (Prague) 2008;57(4):221–5.

4. Holý R, Skutil J, Navara M, et al. Úloha neurootologa v záchytu poradiačních komplikací u pacientů s vestibulárním schwannomem léčených Leksellovým gama nožem. Cesk Slov Neurol N 2013;76/109(2):191–6.

5. Holý R, Praženica P, Fundová P, et al. Ovlivnění funkce sluchové dráhy u pacientů s vestibulárním schwannomem léčených Leksellovým gama nožem. Cesk Slov Neurol N 2014;77/110(2):223–9.

6. Sameš M a kol. Neurochirurgie. 1. vyd. Praha: Jessenius Maxdorf 2005.

7. Hassepass F, Bulla SB, Aschendorff A, et al. Vestibular schwannoma: part I: epidemiology and diagnostics. HNO 2012;60(9):837–44. doi: 10.1007/s00106-012-2533-y.

8. Štěpánková V. Sympathicus tumors in childhood in ORL sphere. Cesk Otolaryngol 1979;28(1):52–5.

9. Arribas L, Chrust ML, Menéndes A, et al. Non surgical treatment of vestibular schwannoma. Acta Otorrinolaringol Esp 2015;66(4):185–91. doi: 10.1016/j.otorri.2014.08.003.

10. Schaefer IM, Fletcher CD. Malignant peripheral nerve sheath tumor (MPNST) arising in diffuse-type neurofibroma: clinicopathologic characterization in a series of 9 cases. Am J Surg Pathol 2015;39(9):1234–41. doi: 10.1097/PAS.0000000000000447.

11. Boráňová S, Žáčik M. Neuroblastom. Pediatr Praxi 2012;13(5):335–7.

12. Gao Y, Zhang HH, Yang J, et al. Thoracolumbar arachnoid cyst with Horner syndrome: a case report and review of the literature. Cell Biochem Biophys. In press 2014.

13. Grim M, Druga R, et al. Základy anatomie, 5. Anatomie krajin těla. 1. vyd. Praha: Galén 2002.

14. Zvěřina E., Stejskal L. Poranění periferních nervů. 1. vyd. Praha: Avicenum 1979.

15. Gonzáles-Aguado R, Morales-Angulo C, Obeso-Aquera S, et al. Horner‘s syndrome after neck surgery. Acta Otorinolaringol Esp 2012;63(4):299–302.

16. Johnson DH, Hainsworth JD, Greco FA. Pancoast‘s syndrome and small cell lung cancer. Chest 1982;82(5):602–6.

17. Cashman E, Skinner LJ, Timon C. Thyroid swelling: an unusual presentation of a cervical sympathetic chain schwannoma. Medscape J Med 2008;10(8):201.

18. Iacconi P, Faggioni M, De Bartolomeis C, et al. Cervical sympathetic chain schwannoma: a case report. Acta Otorhinolaryngol Ital 2012;32(2):133–6.

19. Ozlugedik S, Ozcan M, Unal T, et al. Cervical sympathetic chain schwannoma: two different clinical presentations. Tumori 2007;93(3):305–7.

20. Tomita T, Ozawa H, Sakamoto K, et al. Diagnosis and manangement of cervical sympathetic chain schwannoma: a review of 9 cases. Acta Otolaryngol 2009;129(3):324–9. doi: 10.1080/00016480802179735.