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.
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.
Link to this frame from your Personal Thumbnails page?