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

Downloads

Download data is not yet available.
Abstract
174
PDF
133

Downloads

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

Vol. 18 No. 2 (2012)

Section

Case Reports

License

Manuscripts submitted for publication in the Bangladesh Journal of Otorhinolaryngology must not have been previously submitted or published. Accepted papers become the permanent property of the Bangladesh Journal of Otorhinolaryngology. By submitting a manuscript, the authors(s) agree that copyrights for their articles are automatically transferred to Bangladesh Journal of Otorhinolaryngology, if and when the articles are accepted for publication.

The use, in this journal, of registered trade names, trade marks, etc. without special acknowledgement does not imply that such names, as defined by the relevant protection laws, be regarded as unprotected, and, thus, free for general use.

Authors who publish with this journal agree to the following terms:

 

Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).