Operative management of symptomatic, metachronous carotid body tumors involving the skull base and its neurological sequelae
A 44-year-old morbidly obese woman with a history of right carotid body tumor (CBT) resection presented with a symptomatic, nonfunctional, left Shamblin-III CBT. Abutment of the skull base precluded distal internal carotid artery control for arterial reconstruction, favoring parent vessel sacrifice...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-09-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428721000800 |
| _version_ | 1818440990436884480 |
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| author | Roberto G. Aru, MD Rony K. Aouad, MD Justin F. Fraser, MD Amanda M. Romesberg, DO Kevin W. Hatton, MD Sam C. Tyagi, MD |
| author_facet | Roberto G. Aru, MD Rony K. Aouad, MD Justin F. Fraser, MD Amanda M. Romesberg, DO Kevin W. Hatton, MD Sam C. Tyagi, MD |
| author_sort | Roberto G. Aru, MD |
| collection | DOAJ |
| description | A 44-year-old morbidly obese woman with a history of right carotid body tumor (CBT) resection presented with a symptomatic, nonfunctional, left Shamblin-III CBT. Abutment of the skull base precluded distal internal carotid artery control for arterial reconstruction, favoring parent vessel sacrifice after an asymptomatic provocative test. She underwent CBT resection with anticipated sacrifice of cranial nerves X and XII and the common carotid artery and its branches, developing baroreceptor failure syndrome and sequelae of cranial nerve sacrifice. When facing a symptomatic, metachronous CBT abutting the skull base, upfront operative intervention with adjuvant radiation for residual tumor optimizes curative resection. |
| first_indexed | 2024-12-14T18:21:08Z |
| format | Article |
| id | doaj.art-cd70ea92c30940f1b1745b7056d80157 |
| institution | Directory Open Access Journal |
| issn | 2468-4287 |
| language | English |
| last_indexed | 2024-12-14T18:21:08Z |
| publishDate | 2021-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj.art-cd70ea92c30940f1b1745b7056d801572022-12-21T22:52:04ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872021-09-0173378381Operative management of symptomatic, metachronous carotid body tumors involving the skull base and its neurological sequelaeRoberto G. Aru, MD0Rony K. Aouad, MD1Justin F. Fraser, MD2Amanda M. Romesberg, DO3Kevin W. Hatton, MD4Sam C. Tyagi, MD5Division of Vascular and Endovascular Surgery, Department of Surgery, University of Kentucky, Lexington, Ky; Correspondence: Roberto G. Aru, MD, Department of Surgery, University of Kentucky, 800 Rose St, MN 275, Lexington, KY 40536Department of Otolaryngology – Head and Neck Surgery, University of Kentucky, Lexington, KyDepartments of Neurological Surgery, Neurology, Radiology, and Neuroscience, University of Kentucky, Lexington, KyDepartment of Radiology, University of Kentucky, Lexington, KyDivision of Critical Care Medicine, Department of Anesthesiology, University of Kentucky, Lexington, KyDivision of Vascular and Endovascular Surgery, Department of Surgery, University of Kentucky, Lexington, KyA 44-year-old morbidly obese woman with a history of right carotid body tumor (CBT) resection presented with a symptomatic, nonfunctional, left Shamblin-III CBT. Abutment of the skull base precluded distal internal carotid artery control for arterial reconstruction, favoring parent vessel sacrifice after an asymptomatic provocative test. She underwent CBT resection with anticipated sacrifice of cranial nerves X and XII and the common carotid artery and its branches, developing baroreceptor failure syndrome and sequelae of cranial nerve sacrifice. When facing a symptomatic, metachronous CBT abutting the skull base, upfront operative intervention with adjuvant radiation for residual tumor optimizes curative resection.http://www.sciencedirect.com/science/article/pii/S2468428721000800Carotid body tumorMetachronous carotid body tumorCranial nerves deficitBaroreceptor failure syndromeMultidisciplinary care |
| spellingShingle | Roberto G. Aru, MD Rony K. Aouad, MD Justin F. Fraser, MD Amanda M. Romesberg, DO Kevin W. Hatton, MD Sam C. Tyagi, MD Operative management of symptomatic, metachronous carotid body tumors involving the skull base and its neurological sequelae Journal of Vascular Surgery Cases and Innovative Techniques Carotid body tumor Metachronous carotid body tumor Cranial nerves deficit Baroreceptor failure syndrome Multidisciplinary care |
| title | Operative management of symptomatic, metachronous carotid body tumors involving the skull base and its neurological sequelae |
| title_full | Operative management of symptomatic, metachronous carotid body tumors involving the skull base and its neurological sequelae |
| title_fullStr | Operative management of symptomatic, metachronous carotid body tumors involving the skull base and its neurological sequelae |
| title_full_unstemmed | Operative management of symptomatic, metachronous carotid body tumors involving the skull base and its neurological sequelae |
| title_short | Operative management of symptomatic, metachronous carotid body tumors involving the skull base and its neurological sequelae |
| title_sort | operative management of symptomatic metachronous carotid body tumors involving the skull base and its neurological sequelae |
| topic | Carotid body tumor Metachronous carotid body tumor Cranial nerves deficit Baroreceptor failure syndrome Multidisciplinary care |
| url | http://www.sciencedirect.com/science/article/pii/S2468428721000800 |
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