Glomus Jugulare: A Rare Cause of Facial Nerve Palsy

Kovacova, Adriana; Ghazi-Nouri, Seyed; Lee, Peng

doi:10.3109/01676830.2013.771374

Cited by 2 publications

(4 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Presentation with facial nerve weakness occurs rarely and indicates an infiltrative tumor. 1,4,41 Large tumors can have significant intracranial and extracranial extensions involving vascular structures of the carotid sheath and causing brainstem compression. Histologically, the tumors are similar to pheochromocytomas, and although the majority are nonfunctioning, they secrete catecholamines in 1%-3% of cases, in which patients may present with symptoms of catecholamine hypersecretion such as hypertension, tachycardia, palpitation, headache, and anxiety.…”

mentioning

confidence: 99%

Gamma Knife radiosurgery for glomus jugulare tumors: a single-center series of 75 cases

Ibrahim

Ammori

Yianni

et al. 2017

Journal of Neurosurgery

View full text Add to dashboard Cite

OBJECTIVE Glomus jugulare tumors are rare indolent tumors that frequently involve the lower cranial nerves (CNs). Complete resection can be difficult and associated with lower CN injury. Gamma Knife radiosurgery (GKRS) has established its role as a noninvasive alternative treatment option for these often formidable lesions. The authors aimed to review their experience at the National Centre for Stereotactic Radiosurgery, Sheffield, United Kingdom, specifically the long-term tumor control rate and complications of GKRS for these lesions. METHODS Clinical and radiological data were retrospectively reviewed for patients treated between March 1994 and December 2010. Data were available for 75 patients harboring 76 tumors. The tumors in 3 patients were treated in 2 stages. Familial and/or hereditary history was noted in 12 patients, 2 of whom had catecholamine-secreting and/or active tumors. Gamma Knife radiosurgery was the primary treatment modality in 47 patients (63%). The median age at the time of treatment was 55 years. The median tumor volume was 7 cm, and the median radiosurgical dose to the tumor margin was 18 Gy (range 12-25 Gy). The median duration of radiological follow-up was 51.5 months (range 12-230 months), and the median clinical follow-up was 38.5 months (range 6-223 months). RESULTS The overall tumor control rate was 93.4% with low CN morbidity. Improvement of preexisting deficits was noted in 15 patients (20%). A stationary clinical course and no progression of symptoms were noted in 48 patients (64%). Twelve patients (16%) had new symptoms or progression of their preexisting symptoms. The Kaplan-Meier actuarial tumor control rate was 92.2% at 5 years and 86.3% at 10 years. CONCLUSIONS Gamma Knife radiosurgery offers a risk-versus-benefit treatment option with very low CN morbidity and stable long-term results.

show abstract

mentioning

confidence: 99%

Gamma Knife radiosurgery for glomus jugulare tumors: a single-center series of 75 cases

Ibrahim

Ammori

Yianni

et al. 2017

Journal of Neurosurgery

View full text Add to dashboard Cite

show abstract

“…The tumor is able to compress and affect the facial nerve due to the proximity of the jugular foramen to the path of the nerve [ 1 , 6 ]. The facial nerve travels into the internal acoustic meatus through the facial canal then out through the stylomastoid foramen.…”

Section: Discussionmentioning

confidence: 99%

“…The few articles that describe facial nerve palsy as being a presenting symptom describes the palsy as being present with a conglomerate of other symptoms due to CN IX, X, XI involvement [ 1 , 3 ]. Facial palsy due to invasion of the facial canal has rarely been seen as the primary isolated symptom of glomus jugulare [ 1 , 6 ]. A literature search showed only a few articles mentioning the initial symptoms of these tumors and they are usually described as a combination of pulsatile tinnitus, hearing loss, facial nerve paralysis, vertigo, otalgia, dysphagia, hoarseness, throat sore, episodic hypertension with headaches, and tachycardia [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

“…In summary, this is a unique presentation of glomus jugulare in which isolated facial nerve palsy was the primary clinical presentation and with a delayed presentation of hearing difficulties. Although these tumors are rare causes of facial nerve palsy, they should be included in the differential diagnosis of total facial nerve palsy [ 6 , 8 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Glomus Jugulare Presenting with Isolated Facial Nerve Palsy

Nunez

Ramos-Duran

Cuetter

2014

Surgery Research and Practice

View full text Add to dashboard Cite

Glomus jugulare is a rare slow growing tumor occurring within the jugular foramen that rarely presents with isolated symptoms. Although histologically benign, these tumors are locally destructive because of their proximity to the petrous bone, the lower cranial nerves, and the major vascular structures (Miller et al. (2009) and Silverstone (1973)). We wish to report a glomus jugulare tumor eroding the petrous bone and producing an ipsilateral peripheral facial weakness. The mechanism of this erosion is discussed.

show abstract

Glomus Jugulare: A Rare Cause of Facial Nerve Palsy

Abstract: There have only been a few case reports in the literature describing facial nerve palsy in the context of a glomus jugulare tumour. This case highlights that although paragangliomas are exceedingly rare causes of facial palsy, they should be included in the differential diagnosis.

Cited by 2 publications

References 5 publications

Gamma Knife radiosurgery for glomus jugulare tumors: a single-center series of 75 cases

Gamma Knife radiosurgery for glomus jugulare tumors: a single-center series of 75 cases

Glomus Jugulare Presenting with Isolated Facial Nerve Palsy

Contact Info

Product

Resources

About