Video-assisted thoracoscopic surgical excision of paravertebral neurogenic tumour manifesting with unilateral facial and upper limb anhydrosis

Shishir Karthik; Jon Smith; James A C Thorpe

doi:10.1016/j.icvts.2003.11.003

Video-assisted thoracoscopic surgical excision of paravertebral neurogenic tumour manifesting with unilateral facial and upper limb anhydrosis

Interact Cardiovasc Thorac Surg. 2004 Jun;3(2):226-8. doi: 10.1016/j.icvts.2003.11.003.

Authors

Shishir Karthik¹, Jon Smith, James A C Thorpe

Affiliation

¹ Department of Cardiothoracic Surgery, Yorkshire Heart Centre, Leeds General Infirmary, Great George Street, Leeds LS1 3EX, UK. suchkats@yahoo.com

PMID: 17670220
DOI: 10.1016/j.icvts.2003.11.003

Abstract

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.