Vocal cord paralysis after percutaneous embolization of a vagal paraganglioma--the role of intraoperative nerve monitoring.
The value of preoperative embolization is well established in the management of paragangliomas. Percutaneous direct intratumoral embolization has been described as a safe and effective technique to achieve devascularization of these tumors, thereby reducing intraoperative blood loss. However, the present article presents a case in which a patient developed vocal cord palsy after percutaneous embolization of a vagal paraganglioma. In view of the present findings, the possibility of intraoperative nerve monitoring needs to be explored to ensure safety of this procedure.
Panja
Shantanu
S
Department of Head and Neck Oncology, Kidwai Memorial Institute of Oncology, Bangalore, India. shantanu.panja@gmail.com
Kovoor
Jerry M
JM
Shenoy
Ashok M
AM
Chavan
Purushottam
P
D000328:Adult; D003390:Cranial Nerve Neoplasms / Q000175:diagnosis / Q000601:surgery / Q000628:therapy*; D004621:Embolization, Therapeutic / Q000009:adverse effects*; D005260:Female; D006801:Humans; D018810:Magnetic Resonance Angiography; D016343:Monitoring, Intraoperative / Q000379:methods; D010236:Paraganglioma, Extra-Adrenal / Q000175:diagnosis / Q000601:surgery / Q000628:therapy*; D011300:Preoperative Care; D015641:Radiography, Interventional; D016896:Treatment Outcome; D020421:Vagus Nerve Diseases / Q000175:diagnosis / Q000601:surgery / Q000628:therapy*; D014826:Vocal Cord Paralysis / Q000209:etiology* / Q000517:prevention & control