Korean J Otorhinolaryngol-Head Neck Surg.  2012 Nov;55(11):728-731. 10.3342/kjorl-hns.2012.55.11.728.

Giant Ancient Schwannoma of the Lateral Neck Presenting with Preoperative Horner's Syndrome

• Kim SW
• Sah DJ
• Kwak SG
• Hwang JY

• KMID: 2277431
• DOI: http://doi.org/10.3342/kjorl-hns.2012.55.11.728

Abstract

While ancient schwannoma (AS) from the cervical sympathetic chain is very rare. Preoperative Horner's syndrome resulting from cervical sympathetic chain schwannoma (CSCS) is extremely rare. A 58-year-old woman visited our clinic with a huge lateral neck mass that had been present for thirteen years. Ptosis and enophthalmos were observed on the left eye. After radiologic evaluation, we assessed the CSCS by performing surgical excision. Finally, pathologic examination revealed it to be AS. There has been no recurrence for 15 months after discharge, however Horner's syndrome has become more prominent. We report this unique case of ancient schwannoma with literature review.

Keyword

Horner syndrome; Preoperative period; Schwannoma; Sympathetic nervous system

MeSH Terms

Enophthalmos
Eye
Female
Horner Syndrome
Humans
Middle Aged
Neck
Neurilemmoma
Preoperative Period
Recurrence
Sympathetic Nervous System