c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Deep Cervical Mass: 1

A D V E R T I S E M E N T

   
 

A 27-year-old woman underwent a head CT scan to assess the status of her multiple sclerosis. A 3.5 x 4cm high, deep, left cervical mass was noted. The mass lay directly on the left side of the bodies and transverse processes of C2 and C3 and compressed the adjacent pharynx. Physical examination was normal with no neurologic defecits of the cranial nerves.      

Notes:

Link to this frame from your Personal Thumbnails page? Yes No


 

Deep Cervical Mass: 2

A D V E R T I S E M E N T

   
 

Selective left vertebral angiogram showed minimal vascularity of the tumor, but there was deviation of the vertebral artery between C2 and C3. Octreotide scan was equivocal, but consistent with paraganglioma.      

Notes:

Link to this frame from your Personal Thumbnails page? Yes No


 

Deep Cervical Mass: 3

A D V E R T I S E M E N T

   
 

The patient was taken to the operating room with a presumptive diagnosis of paraganglioma (see differential diagnosis of neck massesmultiple paragangliomas, carotid paragangliomasdiscussion 725, and discussion 1063.) The modified Hayes Martin incision is marked. The primary operating team was otolaryngology with neurosurgery standby for possible cervical nerve root, vertebral body or vertebral artery involvement. The contingency of dividing the mandible for exposure was considered.   

Notes:

Link to this frame from your Personal Thumbnails page? Yes No

 

Click the "Update" button to save your Notes and Personal Thumbnails.

 

Thumbnails

This page was last modified on 7/26/2004.