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Sympathetic Schwannoma
C. Douglas Phillips, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Synonyms

              • Cervical sympathetic chain schwannoma, sympathetic neurilemmoma or neuroma
            • Definitions

              • Benign, slow-growing tumor of Schwann cells investing cervical sympathetic chain

            IMAGING

            • General Features

              • Imaging Recommendations

                • CT Findings

                  • MR Findings

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Staging, Grading, & Classification

                          • Gross Pathologic & Surgical Features

                            • Microscopic Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Image Interpretation Pearls

                                        Selected References

                                        1. Navaie M et al: Diagnostic approach, treatment, and outcomes of cervical sympathetic chain schwannomas: a global narrative review. Otolaryngol Head Neck Surg. 151(6):899-908, 2014
                                        2. Anil G et al: Imaging characteristics of schwannoma of the cervical sympathetic chain: a review of 12 cases. AJNR Am J Neuroradiol. 31(8):1408-12, 2010
                                        3. Tomita T et al: Diagnosis and management of cervical sympathetic chain schwannoma: a review of 9 cases. Acta Otolaryngol. 129(3):324-9, 2009
                                        4. Cheshire WP et al: Cervical sympathetic neuralgia arising from a schwannoma. Headache. 47(3):444-6, 2007
                                        5. Langner E et al: Schwannomas in the head and neck: retrospective analysis of 21 patients and review of the literature. Sao Paulo Med J. 125(4):220-2, 2007
                                        6. Saito DM et al: Parapharyngeal space schwannomas: preoperative imaging determination of the nerve of origin. Arch Otolaryngol Head Neck Surg. 133(7):662-7, 2007
                                        7. Bocciolini C et al: Schwannoma of cervical sympathetic chain: assessment and management. Acta Otorhinolaryngol Ital. 25(3):191-4, 2005
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Imaging

                                            • Top Differential Diagnoses

                                              • Pathology

                                                • Clinical Issues

                                                  TERMINOLOGY

                                                  • Synonyms

                                                    • Cervical sympathetic chain schwannoma, sympathetic neurilemmoma or neuroma
                                                  • Definitions

                                                    • Benign, slow-growing tumor of Schwann cells investing cervical sympathetic chain

                                                  IMAGING

                                                  • General Features

                                                    • Imaging Recommendations

                                                      • CT Findings

                                                        • MR Findings

                                                          DIFFERENTIAL DIAGNOSIS

                                                            PATHOLOGY

                                                            • General Features

                                                              • Staging, Grading, & Classification

                                                                • Gross Pathologic & Surgical Features

                                                                  • Microscopic Features

                                                                    CLINICAL ISSUES

                                                                    • Presentation

                                                                      • Demographics

                                                                        • Natural History & Prognosis

                                                                          • Treatment

                                                                            DIAGNOSTIC CHECKLIST

                                                                            • Image Interpretation Pearls

                                                                              Selected References

                                                                              1. Navaie M et al: Diagnostic approach, treatment, and outcomes of cervical sympathetic chain schwannomas: a global narrative review. Otolaryngol Head Neck Surg. 151(6):899-908, 2014
                                                                              2. Anil G et al: Imaging characteristics of schwannoma of the cervical sympathetic chain: a review of 12 cases. AJNR Am J Neuroradiol. 31(8):1408-12, 2010
                                                                              3. Tomita T et al: Diagnosis and management of cervical sympathetic chain schwannoma: a review of 9 cases. Acta Otolaryngol. 129(3):324-9, 2009
                                                                              4. Cheshire WP et al: Cervical sympathetic neuralgia arising from a schwannoma. Headache. 47(3):444-6, 2007
                                                                              5. Langner E et al: Schwannomas in the head and neck: retrospective analysis of 21 patients and review of the literature. Sao Paulo Med J. 125(4):220-2, 2007
                                                                              6. Saito DM et al: Parapharyngeal space schwannomas: preoperative imaging determination of the nerve of origin. Arch Otolaryngol Head Neck Surg. 133(7):662-7, 2007
                                                                              7. Bocciolini C et al: Schwannoma of cervical sympathetic chain: assessment and management. Acta Otorhinolaryngol Ital. 25(3):191-4, 2005