Case of the Month: June, 2012

Submitted by Shane Smith, MD, and Marcel Maya, MD .

History: 87-year-old female with headache and weakness admitted from outside hospital with diagnosis of multiple strokes.

Imaging: MR Angiography of the Neck

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CT Angiography of the Neck:

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Question: Which of the following are in the differential?

1. Glomus vagale paraganglioma
2. Vagus nerve schwannoma
3. Carotid body paraganglioma
4. Carotid space meningioma