Glomus jugulare

Ravikumar, A; Suryanarayana, K. V.

doi:10.1007/bf03023798

Cited by 1 publication

(2 citation statements)

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“…The glomus vagale tumor is frequently associated with middle ear involvement and tends to spread through the duct of the hypothympanic air cells, around the vagale bulb, inferior petrosal sinus, and carotid artery to the jugular foramen and posterior fossa; only 1%-3% present active secretion of catecholamines. 8,9 Glomus vagale tumors draining into the cavernous sinus and generating arterialtype bleeding are exotic; to our knowledge, this is the first reported case.…”

Section: Discussionmentioning

confidence: 84%

“…Symptoms can be otologic (unilateral pulsatile tinnitus, hypoacusis, and vertigo) and neurological (dysphagia, dysphonia, lingual paralysis, and shoulder weakness) and occasionally can cause tachycardia, headache, arterial hypertension, and diarrhea, among others. 9 Thus, the visual symptomatology manifested by the patient is an atypical presentation of a glomus vagale tumor that caused great deterioration in the patient’s physical condition.…”

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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Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 99%