PT - JOURNAL ARTICLE AU - Heleno, Caio AU - Lasley, Katharine AU - Low, Michelle AU - Singh, Pranav TI - Vagal paraganglioma clinically presenting as a persistent dry cough AID - 10.1136/bcr-2021-241913 DP - 2021 Jul 01 TA - BMJ Case Reports PG - e241913 VI - 14 IP - 7 4099 - http://casereports.bmj.com/content/14/7/e241913.short 4100 - http://casereports.bmj.com/content/14/7/e241913.full SO - BMJ Case Reports2021 Jul 01; 14 AB - Vagal paragangliomas (VPs) are a rare subset of neuroendocrine tumour derived from paraganglia located in the head/neck that are usually indolent in nature. Typical clinical presentations include pulsatile tinnitus or hoarseness associated with a neck mass. Surgery and radiation therapy remain the primary treatment modalities but come with significant morbidity including cranial nerve damage. We describe a unique case of VP in which cough was the only presenting symptom, that was exacerbated by enlargement of the tumour. Symptoms improved following radiation treatment.