Comparison of Treatment Outcome in Patients with Glomus Jugular Tumors after Surgery and Radiotherapy

Kouhi, Ali; Alipour, Ahmad; Dabiri, Sasan; Elahi, M Sheykh Fath; Ashtiani, M T Khorsandi; Motassadi, Masoud; Borghei, Pedram; Yazdani, Nasrin; Heidari, Farrokh; Mandegari, Mohammad; Rezaeian, Saman

doi:10.1055/s-0041-1725322

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“…Despite these limitations, surgery represents the best strategy for complete removal of the paraganglioma in cases where the lesion is easily accessible surgically. 15 …”

Section: Discussionmentioning

confidence: 99%

“…Despite these limitations, surgery represents the best strategy for complete removal of the paraganglioma in cases where the lesion is easily accessible surgically. 15 On the other hand, radiosurgery is useful in the context of bilateral glomus vagale tumors or in tumors in which complete resection of the lesion was not achieved or that are difficult to access because of their location. Studies such as that by Suarez et al 1 demonstrated that radiosurgery achieves greater tumor control, a lower rate of complications, and a lower number of cranial nerve palsies after the procedure.…”

Section: Discussionmentioning

confidence: 99%

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Bilateral visual disturbances caused by a glomus vagale: illustrative case

Jimenez Hakim,

Garcia Rairan,

Guzman

et al. 2023

Journal of Neurosurgery: Case Lessons

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BACKGROUND A glomus vagale tumor is an infrequent paraganglioma primarily characterized by auditory symptoms, cranial nerve involvement, or autonomic symptoms. However, visual involvement is not commonly observed, and to date, no cases have been reported in the literature. OBSERVATIONS The case involves a 62-year-old female patient with a history of right carotid body tumor resection. She presented to the emergency department with a sudden decrease in visual acuity and bitemporal hemianopsia, accompanied by a left parietal headache. Initial brain magnetic resonance imaging (MRI) revealed a pituitary macroadenoma, which was completely resected. However, postoperatively, the patient developed left amaurosis. Subsequent brain MRI showed the presence of hemostatic material mixed with blood in the sellar region, causing displacement of the optic chiasm. A repeat intervention was performed, identifying bleeding from both cavernous sinuses. Head and neck angiography demonstrated a right glomus vagale tumor with abundant blood drainage into the right cavernous sinus. Embolization of the glomus vagale tumor was performed, resulting in no further bleeding and improvement of symptoms. LESSONS The aim of this case report is to describe a rare occurrence of bilateral visual disturbances caused by bleeding in both cavernous sinuses due to venous hypertension caused by a right glomus vagale tumor.

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“…Despite these limitations, surgery represents the best strategy for complete removal of the paraganglioma in cases where the lesion is easily accessible surgically. 15 …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%