Neurinoma of the Cervical Vagus Nerve in von Recklinghausen's Disease; A Case Report.

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  • レックリングハウゼン病迷走神経鞘腫例

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Abstract

We treated a 51-year-old female with von Recklinghausen's disease with a large neurinoma of the cervical vagus nerve.<br>Her chief complaint was swelling of the right side of the neck. There were numerous cafe au lait spots and neurofibromas all over the body. CT and MRI imaging revealed a tumor that was so large that the common carotid artery was pushed aside towards the midline and the internal jugular vein could not be detected. Based on the diagnosis of a neurinoma or a neurofibroma of the cervical vagus nerve. Surgery was performed under general anesthesia. The tumor was found to originate from the vagus nerve. The tumor was resected together with the vagus nerve. The histopathological report was of a benign neurinoma. No adverse symptoms were observed postoperatively, except for hoarseness of the voice.<br>There have only been 3 cases of neurofibromas, and 1 case of a neurinoma originating from the cervical vagus nerve in Von Recklinghausen's disease reported in Japan. We also discuss the pathological differences between a neurinoma and a neurofibroma.

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