Mathis Stéphane, Palazzo Paola, Lamy Matthias, Ragot Stéphanie, Lapeyrie Soline, Ricco Jean-Baptiste, Neau Jean-Philippe
1 Department of Neurology, CHU Poitiers, University of Poitiers, 2 rue de la Milétrie, 86021 Poitiers, France.
2 Department of Neurology, S. Giovanni Calibita-Fatebenefratelli Hospital, via Ponte Quattro Capi 39, 00186 Rome, Italy.
Cephalalgia. 2017 Jan;37(1):89-93. doi: 10.1177/0333102416629235. Epub 2016 Jul 11.
Background Paraganglioma is a rare neuroendocrine tumour arising anywhere along the paravertebral sympathetic and parasympathetic chains. In the neck, paraganglioma may affect the carotid body (carotid body tumour). Case report We describe a 43-year-old woman who presented with a reversible vasoconstriction syndrome associated with a posterior reversible encephalopathy syndrome following a surgery for a left carotid paraganglioma (with a past medical history of surgery for a right carotid paraganglioma a few months before). Conclusion A consequence of a baroreflex modification is discussed in order to explain the rare occurrence of such symptoms.
副神经节瘤是一种罕见的神经内分泌肿瘤,可发生于椎旁交感神经和副交感神经链的任何部位。在颈部,副神经节瘤可能累及颈动脉体(颈动脉体瘤)。
我们描述了一名43岁女性,她在接受左侧颈动脉副神经节瘤手术后出现了与后部可逆性脑病综合征相关的可逆性血管收缩综合征(患者几个月前有右侧颈动脉副神经节瘤手术史)。
为了解释此类症状的罕见发生,讨论了压力反射改变的后果。