Also confirmed was the position of scalenus anterior between the carotid sheath
and brachial plexus/ scalenus medius seen in our dissection.
Most patients with cervical primary lesions present with a welldefined mass posterior to the carotid sheath
vessels with or without intraspinal extension and with or without calcification.
When ectopic, parathyroid glands can be located from the carotid sheath
to the mediastinum to the inferior aspect of the heart.
The abscess is drained in most instances by an incision in front of the stern mastoid muscle, in the plane between the carotid sheath
and the visceral compartment of the neck if the abscess is high in the neck.
Then it descends through the neck within the carotid sheath
It then ascends along the carotid sheath
, passing over the superior laryngeal nerve, deep to the glossopharyngeal nerve, behind the internal carotid, piercing the thyrohyoid membrane and entering the upper lateral piriform sinus wall (18, 19).
1) CT revealed a peripherally enhancing, ovoid tumor posterior to the carotid sheath
It was flush with the anterior wall of the carotid sheath
and ascended towards the base of the skull.
In the carotid artery type, symptoms occur when the elongated styloid process stimulates the sympathetic nerves in the carotid sheath
Approaches: Sternocleidomastoid approach: Incision was given along anterior border of sternocleidomastoid, platysma and cervical fascia divided, carotid sheath
opened, great vessels looped proximally and distally, and repair of carotid artery, jugular vein, aero digestive tract was done accordingly.
When it occurs, the radiologist should examine the neck for the presence of a lesion along the course of the vagus nerve (cranial nerve X), which passes through the pars nervosa of the jugular foramen and along the carotid sheath
Right sternocleidomastoid was retracted and carotid sheath
We present a case of isolated extranodal Rosai-Dorfman disease involving the carotid sheath
, without the typical massive adenopathy.