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Solitary paraganglioma of the hypoglossal nerve: A case report with magnetic resonance imaging findings

Patient: Female, 58 Final Diagnosis: Solitary paraganglioma of the hypoglossal nerve Symptoms: Neck pain Medication: — Clinical Procedure: Surgical resection Specialty: Otolaryngology OBJECTIVE: Rare disease BACKGROUND: Paragangliomas are rare neuroendocrine tumors originating in the neural crest. O...

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Autores principales: Beyazal, Mehmet, Yavuz, Alpaslan, Ünal, Özkan, Çankaya, Hakan, Yılmaz, Deniz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3864171/
https://www.ncbi.nlm.nih.gov/pubmed/24349604
http://dx.doi.org/10.12659/AJCR.889509
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author Beyazal, Mehmet
Yavuz, Alpaslan
Ünal, Özkan
Çankaya, Hakan
Yılmaz, Deniz
author_facet Beyazal, Mehmet
Yavuz, Alpaslan
Ünal, Özkan
Çankaya, Hakan
Yılmaz, Deniz
author_sort Beyazal, Mehmet
collection PubMed
description Patient: Female, 58 Final Diagnosis: Solitary paraganglioma of the hypoglossal nerve Symptoms: Neck pain Medication: — Clinical Procedure: Surgical resection Specialty: Otolaryngology OBJECTIVE: Rare disease BACKGROUND: Paragangliomas are rare neuroendocrine tumors originating in the neural crest. Only a few cases of hypoglossal paraganglioma have been reported in the published literature. The localization of hypoglossal paragangliomas close to the carotid artery precludes determination of tumor origin preoperatively. CASE REPORT: A 58-year-old female patient was admitted due to neck pain. During physical examination, a significant mass could not be palpated in the upper left part of the neck, despite sensitivity during palpation. Atrophy and left deviation of the left half of the tongue was observed. MRI of the neck revealed a lesion located superior to the carotid bifurcation between the left internal carotid artery and external carotid artery. There was atrophy in the left half of the tongue. The neck mass displaced the left internal carotid artery anteriorly and medially. The operation was performed with left lateral cervical access. This lesion, which derived from the hypoglossal nerve, was excised. Following histopathological evaluation, the lesion was diagnosed as paraganglioma. CONCLUSIONS: Hypoglossal paraganglioma is quite rare and there are no established criteria for preoperative diagnosis. Hypoglossal paraganglioma must be considered to determine treatment options if a lateral neck mass and ipsilateral tongue atrophy are present at the level of the 12th cranial nerve tract.
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spelling pubmed-38641712013-12-16 Solitary paraganglioma of the hypoglossal nerve: A case report with magnetic resonance imaging findings Beyazal, Mehmet Yavuz, Alpaslan Ünal, Özkan Çankaya, Hakan Yılmaz, Deniz Am J Case Rep Case Report Patient: Female, 58 Final Diagnosis: Solitary paraganglioma of the hypoglossal nerve Symptoms: Neck pain Medication: — Clinical Procedure: Surgical resection Specialty: Otolaryngology OBJECTIVE: Rare disease BACKGROUND: Paragangliomas are rare neuroendocrine tumors originating in the neural crest. Only a few cases of hypoglossal paraganglioma have been reported in the published literature. The localization of hypoglossal paragangliomas close to the carotid artery precludes determination of tumor origin preoperatively. CASE REPORT: A 58-year-old female patient was admitted due to neck pain. During physical examination, a significant mass could not be palpated in the upper left part of the neck, despite sensitivity during palpation. Atrophy and left deviation of the left half of the tongue was observed. MRI of the neck revealed a lesion located superior to the carotid bifurcation between the left internal carotid artery and external carotid artery. There was atrophy in the left half of the tongue. The neck mass displaced the left internal carotid artery anteriorly and medially. The operation was performed with left lateral cervical access. This lesion, which derived from the hypoglossal nerve, was excised. Following histopathological evaluation, the lesion was diagnosed as paraganglioma. CONCLUSIONS: Hypoglossal paraganglioma is quite rare and there are no established criteria for preoperative diagnosis. Hypoglossal paraganglioma must be considered to determine treatment options if a lateral neck mass and ipsilateral tongue atrophy are present at the level of the 12th cranial nerve tract. International Scientific Literature, Inc. 2013-10-18 /pmc/articles/PMC3864171/ /pubmed/24349604 http://dx.doi.org/10.12659/AJCR.889509 Text en © Am J Case Rep, 2013 This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License
spellingShingle Case Report
Beyazal, Mehmet
Yavuz, Alpaslan
Ünal, Özkan
Çankaya, Hakan
Yılmaz, Deniz
Solitary paraganglioma of the hypoglossal nerve: A case report with magnetic resonance imaging findings
title Solitary paraganglioma of the hypoglossal nerve: A case report with magnetic resonance imaging findings
title_full Solitary paraganglioma of the hypoglossal nerve: A case report with magnetic resonance imaging findings
title_fullStr Solitary paraganglioma of the hypoglossal nerve: A case report with magnetic resonance imaging findings
title_full_unstemmed Solitary paraganglioma of the hypoglossal nerve: A case report with magnetic resonance imaging findings
title_short Solitary paraganglioma of the hypoglossal nerve: A case report with magnetic resonance imaging findings
title_sort solitary paraganglioma of the hypoglossal nerve: a case report with magnetic resonance imaging findings
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3864171/
https://www.ncbi.nlm.nih.gov/pubmed/24349604
http://dx.doi.org/10.12659/AJCR.889509
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