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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Los paragangliomas del nervio vago son tumoraciones vasculares benignas muy infrecuentes&#44; de origen neuroectod&#233;rmico&#46; Se manifiestan cl&#237;nicamente como masas cervicales asintom&#225;ticas&#44; aunque a veces pueden provocar afectaci&#243;n de pares craneales&#46; Rara vez se acompa&#241;an de niveles elevados de catecolaminas&#46; El diagn&#243;stico se basa en la cl&#237;nica apoyada en pruebas de imagen&#44; donde la TAC y la RNM juegan un papel importante&#46; La angiograf&#237;a no s&#243;lo permite el diagn&#243;stico sino adem&#225;s la realizaci&#243;n de una embolizaci&#243;n preoperatoria&#46; El tratamiento m&#225;s aceptado es la extirpaci&#243;n quir&#250;rgica&#46; Otra opci&#243;n terap&#233;utica en funci&#243;n de la lesi&#243;n y de la situaci&#243;n del paciente es la radioterapia&#46; En este trabajo se presenta un nuevo caso de un paraganglioma del nervio vago de localizaci&#243;n cervical&#44; con cl&#237;nica de crisis hipertensivas y niveles altos de catecolaminas&#46; Se realiza una revisi&#243;n de la literatura y se describen las formas de presentaci&#243;n cl&#237;nica&#44; el diagn&#243;stico y el manejo terap&#233;utico de esta rara entidad&#46;</p>"
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Vol. 17. Núm. 3.
Páginas 255-260 (enero 2005)
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Vol. 17. Núm. 3.
Páginas 255-260 (enero 2005)
Paraganglioma del nervio vago
Paraganglioma of the vagus nerve
Visitas
2550
E. Torres-Carranza
, P. Infante-Cossío, A. García-Perla, R. Belmonte, J. Menéndez, J.L. Gutiérrez-Pérez
Servicio de Cirugía Oral y Maxilofacial. Hospital Universitario Virgen del Rocío. Sevilla
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Resumen

Los paragangliomas del nervio vago son tumoraciones vasculares benignas muy infrecuentes, de origen neuroectodérmico. Se manifiestan clínicamente como masas cervicales asintomáticas, aunque a veces pueden provocar afectación de pares craneales. Rara vez se acompañan de niveles elevados de catecolaminas. El diagnóstico se basa en la clínica apoyada en pruebas de imagen, donde la TAC y la RNM juegan un papel importante. La angiografía no sólo permite el diagnóstico sino además la realización de una embolización preoperatoria. El tratamiento más aceptado es la extirpación quirúrgica. Otra opción terapéutica en función de la lesión y de la situación del paciente es la radioterapia. En este trabajo se presenta un nuevo caso de un paraganglioma del nervio vago de localización cervical, con clínica de crisis hipertensivas y niveles altos de catecolaminas. Se realiza una revisión de la literatura y se describen las formas de presentación clínica, el diagnóstico y el manejo terapéutico de esta rara entidad.

Palabras clave:
Glomus vagal
Paraganglioma
Funcionante
Abstract

Paragangliomas of the vagus nerve are uncommon vascular benign neoplasms of neuroectodermic origin. Initial clinical manifestation is usually as an asymptomatic cervical mass, although sometimes may cause lower cranial nerve palsies. These paragangliomas seldom associate to high levels of circulating catecholamines. Diagnosis is based on the clinics aided by imaging, where CT and MRI play an important role. Angiography is not only diagnostic, but it also allows preoperative embolization of the mass. Most accepted treatment is surgical removal, even though some paragangliomas are suitable for radiation therapy in very specific patients. In this paper we describe a new case of paraganglioma of the vagus nerve in a cervical location, with hypertensive episodes and high catecholamine-levels. The authors review the literature describing the clinical presentation, the diagnosis and the treatment of this rare lesion.

Key words:
Glomus vagale
Functioning
Paraganglioma

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