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Horners syndrome from giant schwannoma of the cervical sympathetic chain: case report. Objectives: Nerve sheath tumours are uncommon lesions in adults. Schwannomas originating from the cervical sympathetic chain are a rare subgroup of nerve sheath tumours. Moreover, the existence of Horners Syndrome before surgery is uncommon, with only five cases reported in the literature. Here we review the presentation, imaging characteristics, and operative considerations of a patient with a large cervical sympathetic chain schwannoma, presenting with Horners Syndrome. A 60-year-old woman with a left upper eyelid ptosis presented to our outpatient department complaining of a painless left- sided neck mass.
Results: Histopathologic examination of excised mass, which was nearly 9.0 cmcm 6.0 cm, revealed a benign schwannoma.
Conclusion: When dealing with cervical masses, schwannoma should be considered in the differential diagnosis, especially when some neurological symptoms exist.