RT Journal Article SR Electronic T1 Vagal paraganglioma clinically presenting as a persistent dry cough JF BMJ Case Reports JO BMJ Case Reports FD BMJ Publishing Group Ltd SP e241913 DO 10.1136/bcr-2021-241913 VO 14 IS 7 A1 Caio Heleno A1 Katharine Lasley A1 Michelle Low A1 Pranav Singh YR 2021 UL http://casereports.bmj.com/content/14/7/e241913.abstract 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.