ANAMNESIS / SYMPTOMS:
A 70 year old patient is suffering from a palatine paralysis and a paralysis of the leftsided recurrent laryngeal nerve for 4 weeks. On palpation there are no pathological findings in the area of the neck.


FINDINGS:
On the sonogramm is located medial of the internal jugular vein and the sternocleidomastoid muscle a hypoechoic tumour visible. Its distal border is not clearly visualizable. Medial of the tumour the facial vein is visible. On the distal border of the sonogramm a strongly echo-reflecting structure is visualized that corresponds to the prevertebral muscle layer.


DIAGNOSIS:
The patient is suspected of having a neurinoma of the vagus nerve of the left side.