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OtherHead and Neck Imaging

Syncope as a Sign of Occult Malignant Recurrence in the Retropharyngeal and Parapharyngeal Space: CT and MR Imaging Findings in Four Cases

Mitsuhiko Nakahira, Hiroaki Nakatani and Taizo Takeda
American Journal of Neuroradiology August 2002, 23 (7) 1257-1260;
Mitsuhiko Nakahira
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Hiroaki Nakatani
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Taizo Takeda
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    Fig 1.

    Case 1. Axial T1-weighted contrast-enhanced MR image (350/8 [TR/TE]) obtained through the soft palate shows a mass (white arrow) that extends into the parapharyngeal space and encases the left ICA (black arrow). Note a rectus abdominal musculocutaneous flap (RA), which was used during previous surgery to reconstruct the defect caused by buccal cancer.

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    Fig 2.

    Case 2. Axial T1-weighted contrast-enhanced MR image (600/20) shows a lateral retropharyngeal lymph node metastasis (white arrow) that surrounds the right ICA (black arrow).

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    Fig 3.

    Case 3.

    A, Axial contrast-enhanced CT scan obtained through the oropharynx shows asymmetry of the parapharyngeal space, which was believed to be a result of surgery. Note the low-attenuating area on the right half of the tongue that represents denervated muscle atrophy and increased fat after resection of the right hypoglossal nerve.

    B, Axial T2-weighted MR image (3500/110) obtained 3 months later shows that an abnormal mass (white arrows) with intermediate signal intensity replaces most of the retropharyngeal and parapharyngeal spaces, with involvement of the right ICA (black arrow).

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    Fig 4.

    Case 4.

    A, Axial contrast-enhanced CT scan obtained through the oropharynx shows asymmetry of the parapharyngeal space, which was thought to be a result of surgery.

    B, Axial contrast-enhanced CT scan obtained 3 months later shows an enlarged retropharyngeal lymph node with central necrosis (arrow) and involvement of the right ICA (arrowheads).

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American Journal of Neuroradiology: 23 (7)
American Journal of Neuroradiology
Vol. 23, Issue 7
1 Aug 2002
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Cite this article
Mitsuhiko Nakahira, Hiroaki Nakatani, Taizo Takeda
Syncope as a Sign of Occult Malignant Recurrence in the Retropharyngeal and Parapharyngeal Space: CT and MR Imaging Findings in Four Cases
American Journal of Neuroradiology Aug 2002, 23 (7) 1257-1260;

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Syncope as a Sign of Occult Malignant Recurrence in the Retropharyngeal and Parapharyngeal Space: CT and MR Imaging Findings in Four Cases
Mitsuhiko Nakahira, Hiroaki Nakatani, Taizo Takeda
American Journal of Neuroradiology Aug 2002, 23 (7) 1257-1260;
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