Evidence map›Paper›PMID 42626217›Full record

ArticleCureus2026

Cervical Ganglioneuroma in Neurofibromatosis Type 1 Presenting as a Carotid Space Mass With Postoperative Horner Syndrome.

Rebekah Chetcuti, Bernard Galea

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In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Rebekah ChetcutiSurgery, Mater Dei Hospital, Msida, MLT.
Bernard GaleaOtolaryngology - Head and Neck Surgery, Mater Dei Hospital, Msida, MLT.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ganglioneuromas are uncommon benign tumours derived from neural crest cells and composed of mature ganglion and Schwannian stromal elements. They most frequently arise in the posterior mediastinum and retroperitoneum, while cervical involvement is rare. Although ganglioneuroma may occur in association with neurofibromatosis type 1, such presentations are infrequently reported. Surgical excision is generally curative; however, postoperative sympathetic dysfunction, including Horner syndrome, may occur because of the close anatomical relationship of these tumours to the cervical sympathetic chain. We report the case of a 24-year-old woman with sporadic neurofibromatosis type 1 who presented with right-sided neck pain and temporomandibular discomfort. Clinical examination revealed a firm, non-tender, non-pulsatile mass in the right anterior cervical triangle, with preserved vocal cord mobility on flexible nasoendoscopy. Magnetic resonance imaging demonstrated a well-circumscribed fusiform lesion within the right carotid space extending from C1 to C6, with anterolateral displacement of the common carotid artery and splaying of the carotid bifurcation, consistent with a neurogenic tumour. Following multidisciplinary discussion, the lesion was excised via a transcervical approach. Histopathological examination confirmed ganglioneuroma with degenerative changes and no malignant features. Postoperatively, the patient developed ipsilateral ptosis and miosis consistent with Horner syndrome. Ophthalmological assessment confirmed sympathetic dysfunction. Her symptoms gradually resolved, with complete recovery by six months. Follow-up magnetic resonance imaging demonstrated no residual or recurrent disease, and serial imaging over four years showed no recurrence and stability of a smaller contralateral lesion. This case highlights cervical ganglioneuroma as a rare differential diagnosis for carotid space masses in patients with neurofibromatosis type 1. Although complete excision offers an excellent prognosis, careful preoperative counselling and operative planning are essential because of the risk of temporary sympathetic chain dysfunction, particularly in lesions extending toward the skull base.

Indexed as

carotid space masscervical ganglioneuromaganglioneuromahorner’s syndromeneck massneurofibromatosis type 1 (nf-1)neurogenic tumourpostoperative horner syndromesympathetic chain

Identifiers

PMID42626217
PMCPMC13492013

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