Bilateral Paragangliomas in the Setting of Autonomic Dysfunction: A Case Report

In 2018, a 59-year-old female patient presented with hoarseness in her voice, headache, intermittent pain in her right side, difficulty of right arm movement, left side neck pain, difficulty controlling hypertension of unknown etiology, and a large mass on the upper left side of her neck with a smal...

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Main Authors: Jerry Shen, Angela Ryck, Iris Chan, Kaitlin S. McFadden, Anna D. Hohler
Format: Article
Language:English
Published: Karger Publishers 2021-12-01
Series:Case Reports in Neurology
Subjects:
Online Access:https://www.karger.com/Article/FullText/521009
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author Jerry Shen
Angela Ryck
Iris Chan
Kaitlin S. McFadden
Anna D. Hohler
author_facet Jerry Shen
Angela Ryck
Iris Chan
Kaitlin S. McFadden
Anna D. Hohler
author_sort Jerry Shen
collection DOAJ
description In 2018, a 59-year-old female patient presented with hoarseness in her voice, headache, intermittent pain in her right side, difficulty of right arm movement, left side neck pain, difficulty controlling hypertension of unknown etiology, and a large mass on the upper left side of her neck with a smaller mass on the right side. MRI of the neck revealed masses at each carotid bifurcation. These were determined to be bilateral paragangliomas. Paragangliomas are rare tumors, and bilateral ones tremendously so. The patient underwent radiation over 2 years, resulting in the successful shrinking and stabilization of both masses. Since completing radiation, the patient reported improvement in her memory, and her blood pressure has stabilized with medication.
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spelling doaj.art-319230b1f25c48f8a2c608b9b8e2d83c2022-12-22T04:13:34ZengKarger PublishersCase Reports in Neurology1662-680X2021-12-0113379780110.1159/000521009521009Bilateral Paragangliomas in the Setting of Autonomic Dysfunction: A Case ReportJerry Shen0https://orcid.org/0000-0003-3293-2307Angela Ryck1https://orcid.org/0000-0003-2324-5134Iris Chan2Kaitlin S. McFadden3Anna D. Hohler4School of Medicine, Tufts University School of Medicine, Boston, MA, USASchool of Medicine, Tufts University School of Medicine, Boston, MA, USASchool of Medicine, Tufts University School of Medicine, Boston, MA, USANeuroscience, Mount Holyoke College, South Hadley, MA, USADepartment of Neurology, St. Elizabeth’s Medical Center, Boston, MA, USAIn 2018, a 59-year-old female patient presented with hoarseness in her voice, headache, intermittent pain in her right side, difficulty of right arm movement, left side neck pain, difficulty controlling hypertension of unknown etiology, and a large mass on the upper left side of her neck with a smaller mass on the right side. MRI of the neck revealed masses at each carotid bifurcation. These were determined to be bilateral paragangliomas. Paragangliomas are rare tumors, and bilateral ones tremendously so. The patient underwent radiation over 2 years, resulting in the successful shrinking and stabilization of both masses. Since completing radiation, the patient reported improvement in her memory, and her blood pressure has stabilized with medication.https://www.karger.com/Article/FullText/521009paragangliomahypertensioncarotid bodyautonomic dysfunctioncase report
spellingShingle Jerry Shen
Angela Ryck
Iris Chan
Kaitlin S. McFadden
Anna D. Hohler
Bilateral Paragangliomas in the Setting of Autonomic Dysfunction: A Case Report
Case Reports in Neurology
paraganglioma
hypertension
carotid body
autonomic dysfunction
case report
title Bilateral Paragangliomas in the Setting of Autonomic Dysfunction: A Case Report
title_full Bilateral Paragangliomas in the Setting of Autonomic Dysfunction: A Case Report
title_fullStr Bilateral Paragangliomas in the Setting of Autonomic Dysfunction: A Case Report
title_full_unstemmed Bilateral Paragangliomas in the Setting of Autonomic Dysfunction: A Case Report
title_short Bilateral Paragangliomas in the Setting of Autonomic Dysfunction: A Case Report
title_sort bilateral paragangliomas in the setting of autonomic dysfunction a case report
topic paraganglioma
hypertension
carotid body
autonomic dysfunction
case report
url https://www.karger.com/Article/FullText/521009
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