Document Detail


Pitfalls in imaging: differentiating intravagal and carotid body paragangliomas.
MedLine Citation:
PMID:  16075856     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report a case of an intravagal paraganglioma and a case of a carotid body tumor to illustrate a variable presentation of the former in which it mimicked the latter on preoperative imaging. The atypical imaging features of the intravagal paraganglioma included inferior extension to the level of the carotid bifurcation and splaying of the internal and external carotid arteries, features that are similar to those seen in a case of carotid body paraganglioma. Proper differentiation of these lesions permits more appropriate preoperative counseling and surgical preparation. When using magnetic resonance angiography rather than catheter angiography, we advocate the inclusion of gadolinium contrast and three-dimensional time-of-flight techniques to better demonstrate the position of the tumor relative to the carotid bifurcation.
Authors:
Julie Thorp Kerr; Vincent D Eusterman; Stephen M Yoest; Charles A Andersen
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Ear, nose, & throat journal     Volume:  84     ISSN:  0145-5613     ISO Abbreviation:  Ear Nose Throat J     Publication Date:  2005 Jun 
Date Detail:
Created Date:  2005-08-03     Completed Date:  2005-10-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7701817     Medline TA:  Ear Nose Throat J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  348-50     Citation Subset:  IM    
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Madigan Army Medical Center, Tacoma, Wash, USA. julie.kerr@nw.amedd.army.mil
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MeSH Terms
Descriptor/Qualifier:
Adult
Carotid Arteries / physiopathology*
Contrast Media
Diagnosis, Differential
Female
Head and Neck Neoplasms / diagnosis*
Humans
Magnetic Resonance Angiography
Male
Middle Aged
Neck / physiopathology*
Otolaryngology
Paraganglioma / diagnosis*
Tomography, X-Ray Computed
Chemical
Reg. No./Substance:
0/Contrast Media

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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