Abstract
In 1993, a young man was admitted to the University ENT Department, Charles University, Hradec Králové, with a progressive right-sided neck swelling. The ultrasound examina-tion of the neck disclosed a solid highly vascularised formation of 6x4x3 cm size, pressingthe carotid bifurcation.
Additional CT examination and carotid angiography confirmed a vascularised tumor in the carotid bifurcation, with vessel supply from the carotid bifurcation and multiple branches of the external carotid artery. Based on these examinations the diagnosis of a paraganglioma was established and after a preoperative partial embolisation the tumor was completely removed in collaboration with a vessel surgeon; due to the injury of the external carotid artery a suture of the vessel was necessary.
The histological examination confirmed the diagnosis. A centrál left-sided hemiparesis after the operation was successfully rehabilitated and the patient was further dispen-sed at our department.