Case 412

Medical history

Female, 58 years old, has abrupt paresthesia in the left upper limb, associated with ipsilateral cervical bulging with progressive growth for 2 years. Former smoker, abstained for 3 years, with no history of cervical trauma — perforating or blunt — or catheter puncture. Upon examination, an extensive cervical mass is detected on the left, pulsatile and painless on palpation.

From the clinical and radiological data presented, it is concluded that the patient has:

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