{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,10]],"date-time":"2026-11-10T02:41:11Z","timestamp":1794278471911,"version":"4.9.0"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2025,2,1]],"date-time":"2025-02-01T00:00:00Z","timestamp":1738368000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,2,1]],"date-time":"2025-02-01T00:00:00Z","timestamp":1738368000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,1,23]],"date-time":"2025-01-23T00:00:00Z","timestamp":1737590400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,2]]},"abstract":"ABSTRACT<\/jats:title>\n \n Introduction and importance:<\/jats:title>\n Sympathetic paragangliomas are rare neuroendocrine tumors arising from the sympathetic nervous system.<\/jats:p>\n <\/jats:sec>\n \n Case presentation:<\/jats:title>\n We present a case of a 48-year-old woman with an extremely rare paraganglioma arising from the cervical sympathetic chain that was presented to the emergency department with symptoms of respiratory insufficiency and dysphagia. Imaging revealed a highly vascularized tumor originating from the jugular fossa. After preoperative embolization, the tumor was successfully surgically resected.<\/jats:p>\n <\/jats:sec>\n \n Clinical discussion:<\/jats:title>\n Post-surgery, the patient had right facial nerve paralysis (House-Brackmann grade VI\/V), which improved to grade 2 at three months follow-up, with no evidence of recurrence. A multifaceted approach to this challenging problem was analyzed alongside recent relevant literature.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n This case contributes to refining therapeutic algorithms with minimal complications.<\/jats:p>\n <\/jats:sec>\n \n Highlights<\/jats:title>\n <\/jats:sec>","DOI":"10.1016\/j.ijscr.2025.110950","type":"journal-article","created":{"date-parts":[[2025,1,27]],"date-time":"2025-01-27T11:22:58Z","timestamp":1737976978000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Cervical sympathetic paraganglioma: A rare case managed with embolization and surgery with successful nerve recovery"],"prefix":"10.1097","volume":"127","author":[{"given":"Ivan","family":"Ragu\u017e","sequence":"first","affiliation":[{"name":"University Hospital Center \u201cSestre Milosrdnice\u201d, Department of Otorhinolaryngology and Head and Neck Surgery, Vinogradska cesta 29, 10000 Zagreb, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andro","family":"Ko\u0161ec","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vladimir","family":"Kalousek","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Zagreb, \u0160alata 3b, 10000 Zagreb, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan","family":"Pegan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-124-20260325","first-page":"199","article-title":"Cervical sympathetic paraganglioma","volume":"67","author":"Mickley,","year":"1996","journal-title":"Chirurg"},{"key":"R2-124-20260325","article-title":"Head and neck paragangliomas: an update on the molecular classification, state-of-the-art imaging, and management recommendations. Radiology: imaging","volume":"4","author":"Lin,","year":"2022","journal-title":"Cancer"},{"issue":"5","key":"R3-124-20260325","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"The SCARE 2023 guideline: updating consensus surgical CAse REport (SCARE) guidelines","volume":"109","author":"Sohrabi,","year":"2023","journal-title":"Int J Surg Lond Engl."},{"key":"R4-124-20260325","doi-asserted-by":"crossref","first-page":"965","DOI":"10.1016\/j.oraloncology.2006.03.002","article-title":"Tumours of familial origin in the head and neck","volume":"42","author":"Suarez,","year":"2006","journal-title":"Oral Oncol."},{"key":"R5-124-20260325","first-page":"E22","article-title":"Cervical sympathetic chain paraganglioma: a report of 2 cases and a literature review","volume":"93","author":"Seth,","year":"2014","journal-title":"Ear, Nose, and Throat Journal"},{"issue":"3","key":"R6-124-20260325","doi-asserted-by":"crossref","first-page":"240","DOI":"10.4103\/jcvjs.JCVJS_94_20","article-title":"Silent stellate ganglion paraganglioma masquerading as schwannoma: a surgical nightmare","volume":"11","author":"Dandpat,","year":"2020","journal-title":"J Craniovertebr Junction Spine."},{"key":"R7-124-20260325","doi-asserted-by":"crossref","first-page":"396","DOI":"10.1007\/s00423-006-0047-3","article-title":"Management of cervical paragangliomas: a review of a 15-year experience","volume":"391","author":"Antonitsis,","year":"2006","journal-title":"Langenbecks Arch. Surg."},{"key":"R8-124-20260325","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1111\/j.1440-1673.2007.01869.x","article-title":"Preoperative embolization of hypervascular head and neck tumours","volume":"51","author":"Gupta,","year":"2007","journal-title":"Australas. Radiol."},{"key":"R9-124-20260325","doi-asserted-by":"crossref","first-page":"941","DOI":"10.1227\/NEU.0b013e3181eda61d","article-title":"Preoperative angiography and transarterial embolization in the management of carotid body tumor: a single-center, 10-year experience","volume":"67","author":"Li,","year":"2010","journal-title":"Neurosurgery"},{"issue":"Suppl. 1","key":"R10-124-20260325","first-page":"E2386","article-title":"Impact of preoperative embolization on the outcomes of carotid body tumor surgery: a meta-analysis and review of the literature","volume":"38","author":"Abu-Ghanem,","year":"2016","journal-title":"Head Neck"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261225001361?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261225001361?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2025.110950","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T10:16:38Z","timestamp":1774433798000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2025.110950"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2]]},"references-count":10,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2025.110950","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2025,2]]},"assertion":[{"value":"2024-12-04","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-23","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}