A rare case of Scwannoma at carotid space of neck region mimicking as Paraganglioma.

Dr Rohit Chandrakant Barmukh Dr Rohit Chandrakant Barmukh

doi:10.52482/ayurlog.v8i04.665

Abstract

This is a case of carotid body tumour at right side of neck region with initially diagnosed as paraganglioma. A 22 year old female patient with an history of pain and swelling at right side of neck region with intermittent headache difficulty during deglutination. Patient has taken medication for pulmonary kochs for 8 months. Now presented with the mentioned complaints with a swelling at right side swelling at neck region. The features and the correlation with MRI report diagnosed as paraganglioma and then on Histopathologic examination showed a tumour mass composed of two different areas admixed with each other either alternatively or diffusely. The final pathological impression was Neurilemmoma (Schwannoma).The diagnosis was definitive with no evidence of paraganglioma.

Highlights

Schwannomas are benign tumors of nerve sheath origin that most often arise from the superior vestibular branch of the eighth cranial nerve in the cerebellopontine angle.[1]
Paragangliomas may arise from scattered collections of paraganglial tissue, and meningiomas may form from an intraforaminal connective tissue layer
We describe an unusual case of schwannoma at right carotid space which seems as a paraganglioma as earlier, A schwannoma with prominent central flow voids on magnetic resonance imaging (MRI) and present an overview of the relevant imaging findings

Summary

Introduction

Schwannomas are benign tumors of nerve sheath origin that most often arise from the superior vestibular branch of the eighth cranial nerve in the cerebellopontine angle.[1]. We describe an unusual case of schwannoma at right carotid space which seems as a paraganglioma as earlier, A schwannoma with prominent central flow voids on MRI and present an overview of the relevant imaging findings. Abutting the bifurcation of the right common carotid artery causing splaying of internal and external carotid arteries.

Results

Conclusion