Asymptomatic Occipital Area Infarction following Carotid Body Paraganglioma Excision

JOURNAL TITLE: International Journal of Head and Neck Surgery

Author
1. Vishal Rao
2. Shankarnarayan Bhat
3. Rudresh Hiremat
4. Navya Rangnath
5. Ravishankar S Bhat
6. Sudhir M Naik
7. Mohan Appaji
8. MK Goutham
ISSN
0975-7899
DOI
10.5005/jp-journals-10001-1202
Volume
5
Issue
3
Publishing Year
2014
Pages
4
Author Affiliations
    1. Department of ENT and Head and Neck Surgery, KVG Medical College, Sullia, Karnataka, India
    1. Department of ENT, Head and Neck Surgery KVG Medical College, Sullia, Karnataka, India
    1. Department of ENT, Head and Neck Surgery, KVG Medical College, Sullia, Karnataka, India
    1. Department of ENT, Head and Neck Surgery, KVG Medical College, Sullia, Karnataka, India
    1. Department of Anesthesia, KVG Medical College, Sullia Karnataka, India
    1. Department of Radiodiagnosis, KVG Medical College, Sullia Karnataka, India
    1. Department of Pathology, KVG Medical College, Sullia Karnataka, India
  • Article keywords

    Abstract

    Background

    Vascular complications are seen in 2 to 13% of cases with internal carotid artery (ICA) injuries with or without reconstruction. The hypoglossal and vagus appeared most vulnerable for permanent paralysis due to traction or resection. Mortality with surgical excision of carotid body tumor (CBT) has become negligible with newer vascular surgical techniques and the morbidity has fallen to minimal 2.56%.

    Case report

    We report a case of 24-year-old female with symptomatic CBT excision with external carotid artery (ECA) ligation. She developed asymptomatic infarction of the occipital lobe. All the cranial nerves were intact with a follow-up uneventful for the past 2 years.

    Conclusion

    Minimizing complications in CBT surgery include an accurate preoperative imaging assessment of the tumor with comorbidities and evidence-based management.

    How to cite this article

    Rao V, Naik SM, Goutham MK, Appaji M, Bhat S, Hiremat R, Rangnath N, Bhat RSS. Asymptomatic Occipital Area Infarction following Carotid Body Paraganglioma Excision. Int J Head Neck Surg 2014;5(3):148-151.

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