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Indian Journal of Anesthesia and Analgesia 11(4):p 239-242, Oct - Dec. 2024. | DOI: 10.21088/ijaa.2349.8471.11424.13
Case Report
A Case Report: Anaesthetic Challenges in Perioperative Management of a Cervical Vagal Schwannoma
Pratiksha Agrawal, Soumya Pradhan
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Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
Indian Journal of Anesthesia and Analgesia 11(4):p 239-242, Oct - Dec. 2024. | DOI: 10.21088/ijaa.2349.8471.11424.13
How Cite This Article:
Agrawal P, Pradhan S. A case report: anaesthetic challenges in perioperative management of a cervical vagal schwannoma. Ind J Anesth Analg. 2024;11(4):239-42.Timeline
Received : August 27, 2024
Accepted : September 27, 2024
Published : December 20, 2024
Abstract
Vagal Schwannomas are extremely rare, benign, slow growing tumours. Perioperative management in these cases differs from those of other neck swellings due to its close proximity to vital neurovascular structures. Surgical resection of vagal schwannoma involves various anaesthetic challenges like difficult intubation, intraoperative hypotension, bradycardia, cardiac arrest, torrential bleeding, vocal cord paralysis, possibility of ventilatory support and prolonged post op ICU stay. Here we present a case of a 29 year old male, posted for surgical resection of a benign neck swelling (4.9×3.7×6.3 cm) originating from the vagus nerve. Knowledge about anticipated complications, vigilance in prevention and prompt management of hemodynamic alterations can prevent devastating complications. This case report aims to pen down the course of perioperative management from our experience and from existing literature.
References
- 1. Sreevatsa MR, Srinivasarao RV. Three cases of vagal nerve schwannoma and review of literature. Indian J Otolaryngol Head Neck Surg. 2011 Oct;63(4):310-2. doi: 10.1007/s12070- 011-0220-z. Epub 2011 Apr 8. PMID: 23024932; PMCID: PMC3227827.
- 2. Lazim LM. Challenges in managing a vagal schwannoma: Lesson learnt. International Journal of Surgery Case Reports 53 (2018) 5–8. https://doi.org/10.1016/j.ijscr.2018.10.025.
- 3. Loperfido A., Celebrini A., Fionda B., Bellocchi G., Cristalli G. Diagnostic and Therapeutic Strategy for Vagal Schwannoma: Case Series and Literature Review. Medicina 2023, 59,1013. https://doi.org/10.3390/ medicina59061013.
- 4. Mukherjee DK. Neurilemmoma of the vagus nerve: a case report. J Laryngol Otol. 1979;93:187– 92.
- 5. Ye, P., He, C., Chen, Y. et al. Cervical vagal nerve schwannoma induced arrhythmia: a rare case report and literature review. BMC Neurol 22, 480 (2022). https://doi.org/10.1186/s12883-022- 03016-2.
- 6. Chiew WA, Dharshini MP, Lim MY, Kan R. Anaesthetic management of a patient for cervical sympathetic chain schwannoma excision. Indian J Anaesth. 2022 Nov;66(11):804- 805. doi: 10.4103/ija.ija_532_22. Epub 2022 Nov 18. PMID: 36590191; PMCID: PMC9795496.
- 7. Saini S, Sabharwal N, Agrawal N, Singh B. Cervical vagal schwannoma: Anesthetic concerns. Anesth Essays Res 2017;11:254-6.
Data Sharing Statement
There are no additional data available.
Funding
This research received no funding.
Author Contributions
All authors contributed significantly to the work and approve its publication.
Ethics Declaration
Identity of patient is not disclosed. Necessary consent taken.
Acknowledgements
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Conflicts of Interest
The authors report no conflicts of interest in this work.
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Cite this article
Agrawal P, Pradhan S. A case report: anaesthetic challenges in perioperative management of a cervical vagal schwannoma. Ind J Anesth Analg. 2024;11(4):239-42.
Licence:
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
| Received | Accepted | Published |
|---|---|---|
| August 27, 2024 | September 27, 2024 | December 20, 2024 |
DOI: 10.21088/ijaa.2349.8471.11424.13
Keywords
Vagal schwannomaCervical tumorAnesthesiaPerioperative managementSearch for Similar Articles
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Timeline
| Received | August 27, 2024 |
| Accepted | September 27, 2024 |
| Published | December 20, 2024 |
licence
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
