Glomus Jugulare Tumor With Multiple Lower Cranial Nerves Palsy: Case Report
Scientific BACKGROUND: Glomus jugulare tumor is a rare and mostly benign type of paraganglioma localized in or around the jugular foramen. Pulsatile tinnitus, conductive hearing loss and aural fullness are the most common presenting symptoms. Moreover, it may cause significant lower cranial nerve de...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2007-12-01
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| Series: | Türk Nöroloji Dergisi |
| Subjects: | |
| Online Access: | http://www.tjn.org.tr/jvi.aspx?pdir=tjn&plng=eng&un=TJN-47855 |
| _version_ | 1797912207663562752 |
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| author | İpek Midi Müzeyyen Doğan Kamuran Urgun Nazire Afşar |
| author_facet | İpek Midi Müzeyyen Doğan Kamuran Urgun Nazire Afşar |
| author_sort | İpek Midi |
| collection | DOAJ |
| description | Scientific BACKGROUND: Glomus jugulare tumor is a rare and mostly benign type of paraganglioma localized in or around the jugular foramen. Pulsatile tinnitus, conductive hearing loss and aural fullness are the most common presenting symptoms. Moreover, it may cause significant lower cranial nerve deficits due to mass effect. Glomus jugulare tumors are generally slow-growing, benign lesions, however; their pronounced local aggressiveness frequently results in severe neurological deficits.
CASE: A 63 year-old woman presented with VIII, IX, X, XI, XIIth cranial nerves palsy on the left side. Cranial imaging revealed a left-sided glomus jugulare tumor. The patient was considered to be of very high risk due to severe local invasion to surrounding bones and close proximity to vital structures and underwent gamma knife surgery.
CONCLUSION: Signs of glomus jugulare tumors are related to tumor localization. These generally appear following a long silent period due to slow growth rate. Surgical option can be limited if the tumor is close to vital structures. Although rare, the diagnosis of glomus jugulare tumor should be kept in mind in cases of slowly developing multiple lower cranial nerves palsy |
| first_indexed | 2024-04-10T11:52:39Z |
| format | Article |
| id | doaj.art-7e8cfaadb7104c148484f24fe9e9ed6e |
| institution | Directory Open Access Journal |
| issn | 1301-062X 1309-2545 |
| language | English |
| last_indexed | 2024-04-10T11:52:39Z |
| publishDate | 2007-12-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Türk Nöroloji Dergisi |
| spelling | doaj.art-7e8cfaadb7104c148484f24fe9e9ed6e2023-02-15T16:17:01ZengGalenos YayineviTürk Nöroloji Dergisi1301-062X1309-25452007-12-01136419422Glomus Jugulare Tumor With Multiple Lower Cranial Nerves Palsy: Case Reportİpek Midi0Müzeyyen Doğan1Kamuran Urgun2Nazire Afşar3Department Of Neurology, Marmara University, Faculty Of Medicine, İstanbul, TurkeyDepartment Of Otorhinolaryngology, Marmara University, Faculty Of Medicine, İstanbul, TurkeyDepartment Of Neurosurgery, Marmara University, Faculty Of Medicine, İstanbul, TurkeyDepartment Of Neurology, Marmara University, Faculty Of Medicine, İstanbul, TurkeyScientific BACKGROUND: Glomus jugulare tumor is a rare and mostly benign type of paraganglioma localized in or around the jugular foramen. Pulsatile tinnitus, conductive hearing loss and aural fullness are the most common presenting symptoms. Moreover, it may cause significant lower cranial nerve deficits due to mass effect. Glomus jugulare tumors are generally slow-growing, benign lesions, however; their pronounced local aggressiveness frequently results in severe neurological deficits. CASE: A 63 year-old woman presented with VIII, IX, X, XI, XIIth cranial nerves palsy on the left side. Cranial imaging revealed a left-sided glomus jugulare tumor. The patient was considered to be of very high risk due to severe local invasion to surrounding bones and close proximity to vital structures and underwent gamma knife surgery. CONCLUSION: Signs of glomus jugulare tumors are related to tumor localization. These generally appear following a long silent period due to slow growth rate. Surgical option can be limited if the tumor is close to vital structures. Although rare, the diagnosis of glomus jugulare tumor should be kept in mind in cases of slowly developing multiple lower cranial nerves palsyhttp://www.tjn.org.tr/jvi.aspx?pdir=tjn&plng=eng&un=TJN-47855paragangliomaglomus jugularecranial nervegamma knife surgery |
| spellingShingle | İpek Midi Müzeyyen Doğan Kamuran Urgun Nazire Afşar Glomus Jugulare Tumor With Multiple Lower Cranial Nerves Palsy: Case Report Türk Nöroloji Dergisi paraganglioma glomus jugulare cranial nerve gamma knife surgery |
| title | Glomus Jugulare Tumor With Multiple Lower Cranial Nerves Palsy: Case Report |
| title_full | Glomus Jugulare Tumor With Multiple Lower Cranial Nerves Palsy: Case Report |
| title_fullStr | Glomus Jugulare Tumor With Multiple Lower Cranial Nerves Palsy: Case Report |
| title_full_unstemmed | Glomus Jugulare Tumor With Multiple Lower Cranial Nerves Palsy: Case Report |
| title_short | Glomus Jugulare Tumor With Multiple Lower Cranial Nerves Palsy: Case Report |
| title_sort | glomus jugulare tumor with multiple lower cranial nerves palsy case report |
| topic | paraganglioma glomus jugulare cranial nerve gamma knife surgery |
| url | http://www.tjn.org.tr/jvi.aspx?pdir=tjn&plng=eng&un=TJN-47855 |
| work_keys_str_mv | AT ipekmidi glomusjugularetumorwithmultiplelowercranialnervespalsycasereport AT muzeyyendogan glomusjugularetumorwithmultiplelowercranialnervespalsycasereport AT kamuranurgun glomusjugularetumorwithmultiplelowercranialnervespalsycasereport AT nazireafsar glomusjugularetumorwithmultiplelowercranialnervespalsycasereport |