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Brain and Nerve No to Shinkei Volume 19, Issue 10 （October 1967）

Brain and Nerve 脳と神経 19巻10号（1967年10月発行）

Japanese English

研究

頸部迷走神経鞘腫の3手術治験例 SCHWANNOMA OF THE VAGUS NERVE IN THE NECK, REPORT OF THREE CASES 田中輝彦 ¹ , 岩淵隆 ¹ , 鈴木二郎 ² , 遠藤芳郎 ³ Teruhiko TANAKA ¹ , Takashi IWABUCHI ¹ , Jiro SUZUKI ² , Yoshiro ENDO ³ ¹東北大学医学部葛西外科 ²東北大学医学部付属脳疾患研究施設脳神経外科 ³渋谷外科病院 ¹Department of Surgery, Tohoku University School of Medicine ²Division of Neurosurgery Institute of Brain Disease Tohoku University School of Medicine ³Shibuya Surgical Clinic pp.983-988

発行日 1967年10月1日 Published Date 1967/10/1

DOI https://doi.org/10.11477/mf.1406202289

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Abstract 文献概要
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I．はじめに

　頸部腫瘍のうち，迷走神経に発生する神経鞘腫は稀なものである。本邦では，大正15年関口^1）による第1例以来現在まで12例の報告^1）〜11）を数えるのみである。われわれは最近3例の頸部迷走神経鞘腫を経験したので報告し，加えて本邦症例を集計して考察した。

Three cases of the schwannoma of the vagus nerve in the neck were reported.

Case 1. A 50-year-old woman, with a painless mass in the left neck and progressive alsy of the left V, VIII, IX, X and XII brain nerves within 2 years, was adimitted to our hospital as the left acous-tic tumor. The left carotid arteriography showed a narrowing and anteromedial displacement of the cer-vical course of the internal carotid artery. At opera-tion, the tumor was found to be arising from the left vagus nerve and expand intracranially through the left foramen jugulare, which was totally removed partial sacrifice of the vagus nerve.

Case 2. A 36-year-old woman, had a chief com-plaint of tumors of the right supraclavicular fossa and right thigh present for 8, 2 and 1/2 years, res-pectively. At operation, tumors arising from the right vagus nerve, right brachial plexus and muscler fibre of the right femoral nerve, were completely extirpated with excision of the vagus nerve. Micro-scopically all tumors were equally schwannoma of Antoni type A.

Case 3. A 56-year-old man, with a painless mass in the right neck of 3 years' duration. He coughed always by the manual compression of the mass. At operation, a tumor arising from the right vagus nerve between internal jugular vein and common carotid artery, 27g of weight, was removed. The nerve was involved.

In Japan, 15 cases of schwannoma of the vagus nerve in the neck including our 3 cases had been reported, 10 men and 5 women, 6 left and 9 right sided. Twelve cases were older than 30 years of Age. Every case had a single tumor except our case 2. The main complaints were the painless mass in the neck. Cough-reflex by compression of the mass was seen in 5 cases, which seemed significant clinical sign. No recurrence was reported after the surgical removal of the tumor, but in almost all cases ipsilateral vocal cord palsy persisted, many of which tend to improve.