Video-assisted thoracoscopic surgical excision of paravertebral neurogenic tumour manifesting with unilateral facial and upper limb anhydrosis.
A 21-year-old man presented with a recent onset history of tingling and numbness of his left upper limb. He also had a 3 year history of anhydrosis affecting the left half of his face and left upper limb. Clinical and Doppler assessment did not reveal any vascular cause for his symptoms. However, a chest roentgenogram revealed a smooth mediastinal-based shadow in the left upper zone. Further imaging revealed a well-rounded left upper paravertebral tumour with cystic areas. There was no evidence of intraspinal extension. He underwent a video-assisted thoracoscopic surgical (VATS) excision of the tumour. Following this, he made an uneventful recovery.
Department of Cardiothoracic Surgery, Yorkshire Heart Centre, Leeds General Infirmary, Great George Street, Leeds LS1 3EX, UK. suchkats@yahoo.com
Shishir
S
Karthik
Jon
J
Smith
James A C
JA
Thorpe