Micro-neurosurgical excision of dumbbell shaped very large jugular foramen schwannoma

Authors

  • Forhad H Chowdhury Neurosurgeon, Department of Neurosurgery, Dhaka Medical College, Dhaka,
  • Mohammod R Haque Associate Professor, Department of Neurosurgery, Dhaka Medical College, Dhaka
  • Mahmudul Hasan Associate Professor, Department of ENT - Head & Neck surgery, Shaheed Sohrawardi Medical College Hospital, Dhaka

DOI:

https://doi.org/10.3329/bjo.v18i2.12015

Keywords:

Jugular foramen tumor, jugular foramen schwannoma, jugular foramen syndrome

Abstract

Introduction: Jugular foramen tumor is a rare tumor. Jugular foramen schwannoma is rarer. This type of tumor may present in combination of different cranial nerve palsies in the form of different syndromes or may also be diagnosed incidentally. Management of such tumor is not straight forward.

Case reports: Two young male presented with headache, vomiting, gait instability, right sided hearing loss. Clinically they had different cranial nerves dysfunction. Imaging showed jugular foramen tumor extending from posterior fossa to almost common carotid bifurcation at neck in both cases. Near total microsurgical excisions of the tumor were done through retrosigmoid suboccipital plus transmastoid high cervical approach with facial nerve mobilization in one case and without mobilization in other case. In case 1 combination of lower cranial nerve palsies is unique with inclusion of VIII nerve and that does not belong to any of the jugular foramen syndromes (i.e. Vernet, Collet- Sicard, Villaret, Tapia, Schmidt, and Jackson). Here IX, X, XI, XII and VIII cranial palsies was present (i.e.Collet-Sicard syndrome plus VIII nerve syndrome!). In the second case there was IX & X dysfunction with VIII dysfunction. We also went through the short review of the literature here

DOI: http://dx.doi.org/10.3329/bjo.v18i2.12015

Bangladesh J Otorhinolaryngol 2012; 18(2): 183-192

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Published

2012-11-24

How to Cite

Chowdhury, F. H., Haque, M. R., & Hasan, M. (2012). Micro-neurosurgical excision of dumbbell shaped very large jugular foramen schwannoma. Bangladesh Journal of Otorhinolaryngology, 18(2), 183–192. https://doi.org/10.3329/bjo.v18i2.12015

Issue

Section

Case Reports