From the Department of Neurology (Dr. Cheshire); Transplant Center (Dr. Odell); Division of Gastroenterology, Department of Medicine (Dr. Woodward); Department of Neurosurgery, Mayo Clinic, Jacksonville, FL, USA (Dr. Wharen).
Cervical Sympathetic Neuralgia Arising From a Schwannoma
Article first published online: 19 MAR 2007
Headache: The Journal of Head and Face Pain
Volume 47, Issue 3, pages 444–446, March 2007
How to Cite
Cheshire, W. P., Odell, J. A., Woodward, T. A. and Wharen, R. E. (2007), Cervical Sympathetic Neuralgia Arising From a Schwannoma. Headache: The Journal of Head and Face Pain, 47: 444–446. doi: 10.1111/j.1526-4610.2007.00734.x
- Issue published online: 19 MAR 2007
- Article first published online: 19 MAR 2007
- Accepted for publication December 8, 2006.
- facial pain;
- sympathetically maintained pain;
We describe an unusual case of neuropathic pain of the left face and shoulder accompanied by ipsilateral hyperhidrosis caused by a schwannoma of the cervical sympathetic chain. Additional signs of associated sympathetic hyperactivity included left-sided lacrimation, conjunctival injection, and nasal congestion. Autonomic testing demonstrated signs of increased vasomotor and sudomotor activity in the left palm. The pain was refractory to analgesic and antimigraine medications but resolved following surgical resection of the T2 schwannoma.