Operative management of symptomatic, metachronous carotid body tumors involving the skull base and its neurological sequelae
| Autor: | Kevin W. Hatton, Justin F. Fraser, Rony K. Aouad, Amanda M. Romesberg, Roberto G. Aru, Sam Tyagi |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
RD1-811 Provocative test 030204 cardiovascular system & hematology Asymptomatic 030218 nuclear medicine & medical imaging 03 medical and health sciences Metachronous carotid body tumor 0302 clinical medicine medicine.artery Carotid Body Tumors Case report medicine Diseases of the circulatory (Cardiovascular) system Common carotid artery business.industry Cranial nerves Multidisciplinary care Surgery Skull medicine.anatomical_structure RC666-701 Baroreceptor failure syndrome Cranial nerves deficit Internal carotid artery medicine.symptom Cardiology and Cardiovascular Medicine business Parent vessel Carotid body tumor |
| Zdroj: | Journal of Vascular Surgery Cases and Innovative Techniques, Vol 7, Iss 3, Pp 378-381 (2021) Journal of Vascular Surgery Cases and Innovative Techniques |
| ISSN: | 2468-4287 |
| Popis: | A 44-year-old morbidly obese woman with a history of right carotid body tumor (CBT) resection presented with a symptomatic, nonfunctional, left Shamblin-III CBT. Abutment of the skull base precluded distal internal carotid artery control for arterial reconstruction, favoring parent vessel sacrifice after an asymptomatic provocative test. She underwent CBT resection with anticipated sacrifice of cranial nerves X and XII and the common carotid artery and its branches, developing baroreceptor failure syndrome and sequelae of cranial nerve sacrifice. When facing a symptomatic, metachronous CBT abutting the skull base, upfront operative intervention with adjuvant radiation for residual tumor optimizes curative resection. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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