International Journal of Phonosurgery & Laryngology

Register      Login

VOLUME 1 , ISSUE 2 ( July-December, 2011 ) > List of Articles

CASE REPORT

Cervical Sympathetic Neurofibroma Masquerading as Obstructive Sleep Apnea Syndrome

M Gopinath, VV Ramachandran, Rohini Jose

Citation Information : Gopinath M, Ramachandran V, Jose R. Cervical Sympathetic Neurofibroma Masquerading as Obstructive Sleep Apnea Syndrome. Int J Phonosurg Laryngol 2011; 1 (2):84-87.

DOI: 10.5005/jp-journals-10023-1022

Published Online: 01-06-2015

Copyright Statement:  Copyright © 2011; The Author(s).


Abstract

Obstructive sleep apnea is a chronic condition characterized by frequent episodes of upper airway collapse during sleep. Collapsibility can be increased by underlying anatomic alterations and/or disturbances in upper airway, neuromuscular control, or both, which play key roles in the pathogenesis of obstructive sleep apnea. Neurofibromas of the parapharyngeal space are the second most commonly encountered primary tumor of the nerve sheath origin. A parapharyngeal neurofibroma of the cervical sympathetic chain, presenting as obstructive sleep apnea with all the features mimicking that condition is reported here for its rarity in modern clinical practice. A transcervical approach was adopted to excise the tumor in toto, following which patient was completely relieved of the symptoms, especially those of respiratory distress and features of OSAS.


PDF Share
  1. Obesity and obstructive sleep apnea: Pathogenic mechanisms and therapeutic approaches. Proceedings of the American Thoracic Society 2008;5:185-92.
  2. The epidemiology of adult obstructive sleep apnea. Proceedings of the American Thoracic Society 2008;5:136-43.
  3. Parapharyngeal space lipoma sleep apnoea. The British Journal of Radiology 1997;70:1063-65.
  4. On Philippine Journal of Otolaryngology Head&Neck surgery; Jan-June 2010;25(1):38-40.
  5. Sugical management of parapharyngeal space tumours: A 10-year review. Otorhinolaryngology Head and Neck Surgery 2005;132:401-06.
  6. Parapharyngeal space neoplasms. Head and Neck 1995;17(15):124-30.
  7. Head and neck nerve sheath tumours: A 10-year evaluation. Iranian journal of pathology 2004;4(3):118-22.
  8. A case of neurofibroma of the cervical region. J Gifu Dent Soc June 2009;36(1):26-30.
  9. Solitary neurofibroma of parapharyngeal space. Indian Journal of Otorhinolaryngology 1972;1:30-35.
  10. Cryer-management of head and neck plexiform neurofibromas in pediatric patients with neurofibromatosis type 1. Arch Otolaryngol Head Neck Surg 2005;131:712-18.
  11. Arch Iranian Med 2003;6(4):311-14.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.