E-ISSN 2146-8133
 

Case Report 


Schwannoma causing greater occipital nerve neuralgia: Case report

Hitesh Verma, Arjun Dass, Surinder K. Singhal, Nitin Gupta, Amrinder Kaur.

Abstract
Schwannomas are benign tumors that originate from the Schwann cells of the nerve sheath. They can arise from any myelinated nerve. The pre-operative diagnosis of schwannoma is difficult and should be suggested by clinical features and supported by investigations based on techniques such as ultrasonography, computed tomography (CT), magnetic resonance imaging, and fine-needle aspiration cytology. Schawannomas can present with very subtle symptoms or morbid sequel. A 19-year-old male patient presented with 6 months history of swelling in the upper left side part of the neck. Local examination showed a 5 cm × 3 cm single globular mass in the left suboccipital region. The contrast enhanced CT scan showed a 44 mm × 46 mm × 39 mm well defined heterogeneous mildly enhancing mass on the left side of the upper three cervical vertebras abutting them. The mass was excised under general anesthesia by transcervical approach. After extensive search of English literature we came across only three case reports where schwannoma of greater occipital nerve presented with neuralgia.

Key words: Greater occipital nerve (Arnold nerve), schwannoma, suboccipital


 
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REFERENCES
1. Ducatman BS, Scheithauer BW, Piepgras DG, Reiman HM, Ilstrup  DM. Malignant peripheral nerve sheath tumors. A clinicopathologic study of 120 cases. Cancer 1986;57:2006-21. [DOI via Crossref]   
2. Leu YS, Chang KC. Extracranial head and neck schwannomas: A review of 8 years experience. Acta Otolaryngol 2002;122:435-7. [DOI via Crossref]   
3. Satarkar RN, Kolte SS, Vujhini SK. Cystic schwannoma in neck: Fallacious diagnosis arrived on fine needle aspiration cytology. Diagn Cytopathol 2011;39:866-7. [DOI via Crossref]    [Pubmed]   
4. Malone JP, Lee WJ, Levin RJ. Clinical characteristics and treatment outcome for nonvestibular schwannomas of the head and neck. Am J Otolaryngol 2005;26:108-12. [DOI via Crossref]    [Pubmed]   
5. Ural A, Ceylan A, Inal E, Celenk F. A case of greater occipital nerve schwannoma causing neuralgia. Kulak Burun Bogaz Ihtis Derg 2008;18:253-6. [Pubmed]   
6. Ballesteros-Del Rio B, Ares-Luque A, Tejada-Garcia J, Muela-Molinero A. Occipital (Arnold) neuralgia secondary to greater occipital nerve schwannoma. Headache 2003;43:804-7. [DOI via Crossref]    [Pubmed]   
7. Apaydin M, Varer M, Kalayci OT, Gelal F, Koruyucu MB. Large occipital nerve (Arnold's nerve) schwannoma. JBR-BTR 2013;96:261. [DOI via Crossref]   
8. Shugar MA, Montgomery WW, Reardon EJ. Management of paranasal sinus schwannomas. Ann Otol Rhinol Laryngol 1982;91:65-9. [DOI via Crossref]    [Pubmed]   
9. Bradley N, Bowerman JE. Parapharyngeal neurilemmomas. Br J Oral Maxillofac Surg 1989;27:139-46. [DOI via Crossref]   
10. Wax MK, Shiley SG, Robinson JL, Weissman JL. Cervical sympathetic chain schwannoma. Laryngoscope 2004;114:2210-3. [DOI via Crossref]    [Pubmed]   
11. Liu HL, Yu SY, Li GK, Wei WI. Extracranial head and neck Schwannomas: A study of the nerve of origin. Eur Arch Otorhinolaryngol 2011;268:1343-7. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
12. Gilmer-Hill HS, Kline DG. Neurogenic tumors of the cervical vagus nerve: Report of four cases and review of the literature. Neurosurgery 2000;46:1498-503. [DOI via Crossref]    [Pubmed]   

How to Cite this Article
Pubmed Style

Verma H, Dass A, Singhal SK, Gupta N, Kaur A. Schwannoma causing greater occipital nerve neuralgia: Case report. Arch Clin Exp Surg. 2016; 5(1): 59-62. doi:10.5455/aces.20141030075642


Web Style

Verma H, Dass A, Singhal SK, Gupta N, Kaur A. Schwannoma causing greater occipital nerve neuralgia: Case report. http://www.ejmaces.com/?mno=169676 [Access: August 21, 2018]. doi:10.5455/aces.20141030075642


AMA (American Medical Association) Style

Verma H, Dass A, Singhal SK, Gupta N, Kaur A. Schwannoma causing greater occipital nerve neuralgia: Case report. Arch Clin Exp Surg. 2016; 5(1): 59-62. doi:10.5455/aces.20141030075642



Vancouver/ICMJE Style

Verma H, Dass A, Singhal SK, Gupta N, Kaur A. Schwannoma causing greater occipital nerve neuralgia: Case report. Arch Clin Exp Surg. (2016), [cited August 21, 2018]; 5(1): 59-62. doi:10.5455/aces.20141030075642



Harvard Style

Verma, H., Dass, A., Singhal, S. K., Gupta, N. & Kaur, A. (2016) Schwannoma causing greater occipital nerve neuralgia: Case report. Arch Clin Exp Surg, 5 (1), 59-62. doi:10.5455/aces.20141030075642



Turabian Style

Verma, Hitesh, Arjun Dass, Surinder K. Singhal, Nitin Gupta, and Amrinder Kaur. 2016. Schwannoma causing greater occipital nerve neuralgia: Case report. Archives of Clinical and Experimental Surgery (ACES), 5 (1), 59-62. doi:10.5455/aces.20141030075642



Chicago Style

Verma, Hitesh, Arjun Dass, Surinder K. Singhal, Nitin Gupta, and Amrinder Kaur. "Schwannoma causing greater occipital nerve neuralgia: Case report." Archives of Clinical and Experimental Surgery (ACES) 5 (2016), 59-62. doi:10.5455/aces.20141030075642



MLA (The Modern Language Association) Style

Verma, Hitesh, Arjun Dass, Surinder K. Singhal, Nitin Gupta, and Amrinder Kaur. "Schwannoma causing greater occipital nerve neuralgia: Case report." Archives of Clinical and Experimental Surgery (ACES) 5.1 (2016), 59-62. Print. doi:10.5455/aces.20141030075642



APA (American Psychological Association) Style

Verma, H., Dass, A., Singhal, S. K., Gupta, N. & Kaur, A. (2016) Schwannoma causing greater occipital nerve neuralgia: Case report. Archives of Clinical and Experimental Surgery (ACES), 5 (1), 59-62. doi:10.5455/aces.20141030075642





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