case_images: PMC5483368_01
case_images: Carcinological control endoscopy showing a right arytenoid edematous aspect filling the homolateral piriform sinus without suspect lesion
case_images: PAMJ-26-189-g001.jpg
case_images: PMC5483368_01_PAMJ-26-189-g001.jpg
case_images: f0001
case_images: Five years later, the patient presented progressive dyspnea, the endoscopic examination of the larynx showed a right arytenoid edema filling the homolateral piriform sinus with no suspicious lesion (Figure 1).
case_images: A cervical tomodensitometry showing a right hypopharyngeal process measuring 30 x 27mm coming into contact with the right primitive carotid artery
case_images: PAMJ-26-189-g002.jpg
case_images: PMC5483368_01_PAMJ-26-189-g002.jpg
case_images: f0002
case_images: A cervical scanner has objectified a right hypopharyngeal process coming in contact with the right primary carotid artery (Figure 2); multiple biopsies performed twice were negative.
case_images: A) sagittal MRI and axial T1 sequence with gadolinium injection: annular contrast enhancement zone at the anterior portion of the cervical spinal cord opposite C4-C5 (arrow); B) Sagittal MRI T1 sequence: isointense nodule (arrow); C) Sagittal MRI T2 sequence: fusiform aspect of the spinal cord resulting in an intramedullary edema (arrow)
case_images: PAMJ-26-189-g003.jpg
case_images: PMC5483368_01_PAMJ-26-189-g003.jpg
case_images: f0003
case_images: A month later, the patient a rebel cervical spine pain and a heaviness of the upper limbs, in front of which a cerebro-cervical magnetic resonance imaging (MRI) was requested objectifying a right hypopharyngeal process, suspicious right internal jugular lymphadenopathy (level III) of about 1cm, with a cocardial nodule of the cervical spinal cord taking the contrast evoking secondary localizations (Figure 3).