University Journal of Surgery and Surgical Specialities
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CERVICAL SYMPATHETIC CHAIN SCHWANNOMA - A CASE REPORT
Abstract
Schwannoma is a beningn encapsulated slow growing tumour arising from schwann cells of neural sheath. Fewer than 60 cases of schwannoma arising from cervical sympathetic chain have been reported. We report a case of 28 year old male with complaints of snoring for 1.5 years, swelling in the neck for 1 year change in voice for 6 months. Patient had a smooth surfaced mass seen in right lateral pharyngeal wall and swelling in the neck measuring 8x6 cm deep to sternocleidomastoid muscle. Contrast enhanced CT NECK showed heterogenous mass involving parapharyngeal space USG guided core needle biopsy proved it to be schwannoma. Mass was excised through Trans - Cervical approach arising from cervical sympathetic chain. Post operatively patient had partial right Horners syndrome with mild ophthalmic signs without facial anhydrosis. HPE report confirmed it to be Schwannoma.
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