Cervical vagal nerve schwannoma induced arrhythmia: a rare case report and literature review

BMC Neurology

Case Report

Ping Lü¹  Yiqing Li¹  Yunfei Chen¹  Hongxiao Wu¹  Pin Ye¹  Changhuai He¹  Chuanqi Cai¹ 

[1] Department of Vascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 430022, Wuhan, China;

关键词: Cervical vagal nerve schwannoma;    Nerve schwannoma;    Vagus nerve stimulation;    Arrhythmia;    Surgical intervention;   

DOI  :  10.1186/s12883-022-03016-2

 received in 2021-08-02, accepted in 2022-12-07,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundSchwannomas are benign tumors deriving from the sheath of cranial and peripheral nerves. The vagus nerve is comprised of a complex neuro-endocrine-immune network that maintains homeostasis, most tracts of it play a role in parasympathetic activity. We present an example of a rare cervical vagal schwannoma case accompanied by arrhythmia.Case presentationA 35-year-old female patient with a left cervical vagus schwannoma and ventricular arrhythmia underwent schwannoma resection in the operating room. The patient’s suppressed heart rate increased after tumor removal, and the cardiac rhythm returned to normal postoperatively. Pathological examination demonstrated the diagnosis of schwannoma.ConclusionsThis case explains the link between the vagus nerve and the cardiovascular system, proving that a damaged cervical vagus nerve can inhibit the heart rate and lead to arrhythmias, and eventually requiring surgical intervention.

【 授权许可】

CC BY   
© The Author(s) 2022

【 图 表 】

Fig. 6