Jugular vein invasion rate in surgically operated paragangliomas: a multimodality retrospective study

Orrù, Emanuele; Gürsoy, Merve; Gailloud, Philippe; Blitz, Ari M.; Carey, John P.; Olivi, Alessandro; Yousem, David M.

doi:10.1016/j.clinimag.2014.04.013

Cited by 6 publications

(8 citation statements)

References 17 publications

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“…e main papers that we found are case reports and small case series for jugular paraganglioma patients presenting with increased intracranial pressure due to venous outflow obstruction by the tumor. [6,16,21,30] In comparison to these lesions, where the tumor often occludes the jugular foramen, the CBT is often associated compression of the internal jugular vein and very rarely invasion of the latter. [21] In our particular case, the symptoms occurred after the advanced compression and stenosis of jugular vein lumen leading to progressive antegrade thrombosis of the cerebral venous sinuses.…”

Section: Discussionmentioning

confidence: 99%

“…10% of all CBT), [10] these tumors can become large before diagnosis and present with clinical symptoms ranging from local pulsating neck mass, extraglandular hormonal production (epinephrine derivatives) and elevated blood pressure, dysphagia, syncope, and, on rare occasions, venous sinus thrombosis. [7,10,21,24,25] e latter is usually occurring as a result of progressive jugular vein compression from the tumor and can be associated with intracranial venous hypertension and pseudotumor cerebri (idiopathic intracranial hypertension). [21] e risk of such complication in higher in patients with elevated probability for thrombosis.…”

Section: Introductionmentioning

confidence: 99%

“…[7,10,21,24,25] e latter is usually occurring as a result of progressive jugular vein compression from the tumor and can be associated with intracranial venous hypertension and pseudotumor cerebri (idiopathic intracranial hypertension). [21] e risk of such complication in higher in patients with elevated probability for thrombosis. [5,8,18,21,23,27,30] Such cases can be difficult to manage, depending on the extent of the cerebral sinus thrombosis, intracranial hypertension, tumor size and its vascularity, the necessity of staged treatment, and indications for preoperative tumor embolization.…”

Section: Introductionmentioning

confidence: 99%

“…[21] e risk of such complication in higher in patients with elevated probability for thrombosis. [5,8,18,21,23,27,30] Such cases can be difficult to manage, depending on the extent of the cerebral sinus thrombosis, intracranial hypertension, tumor size and its vascularity, the necessity of staged treatment, and indications for preoperative tumor embolization. Herewith, we present our treatment strategy for the management of such a rare presentation of CBT, including preoperative planning, intraoperative technical nuances and electrophysiological modalities used for minimizing potential postoperative neurological deterioration.…”

Section: Introductionmentioning

confidence: 99%

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A rare case of carotid body tumor associated with near complete cerebral sinus thrombosis and idiopathic intracranial hypertension. Management strategy and review of the literature

Spiriev

Milev

Laleva

et al. 2021

Surgical Neurology International

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Background: Carotid body tumors (CBTs) are rare hypervascular lesions with critical location which makes them very challenging to treat. In rare occasions, compression of the jugular vein from the tumor mass could predispose to progressive thrombosis of intracranial venous sinuses. The latter consequently leads to intracranial hypertension (pseudotumor cerebri) with the accompanying danger to the vision. Herewith, we present our management strategy for this rare presentation of CBTs. Case Description: A 38-year-old woman, with no medical history, was admitted in the emergency unit with acute onset of headache, dizziness, and vomiting. On the diagnostic imaging studies (CT venography and MRI) a near total occlusion of all cerebral venous sinuses and a large CBT (Shambin Type II) were diagnosed. Initially, the patient was treated with anticoagulants for the thrombosis and with lumbo-peritoneal (LP) shunt for the management of pseudotumor cerebri. At a second stage, after resolution of the cerebral sinus thrombosis, the CBT was completely resected under electrophysiological monitoring, without preoperative embolization. At 1-year follow-up, the patient is neurologically intact with functioning LP shunt, patent cerebral venous sinuses, without tumor recurrence. Conclusion: We present a rare case of CBT with intracranial complications, which was managed successfully by staged treatment. Careful study of the preoperative radiological and laboratory data, thorough preoperative planning of the tridimensional lesion anatomy, as well as meticulous microsurgical technique under intraoperative electrophysiological monitoring was essential for the successful outcome of the case.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A rare case of carotid body tumor associated with near complete cerebral sinus thrombosis and idiopathic intracranial hypertension. Management strategy and review of the literature

Spiriev

Milev

Laleva

et al. 2021

Surgical Neurology International

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“…If the JB occluded completely, intraoperative ligation JB and vein is feasible and safe. All angiograms by CT, MR, and DSA were effective in detecting tumor invasion into JV and internal carotid artery of encasement or displacement by the tumors [39].…”

Section: Neuroimagingmentioning

confidence: 99%

Microsurgical management of primary jugular foramen meningiomas: a series of 22 cases and review of the literature

Tang

Zhang

et al. 2016

Neurosurg Rev

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This study summarized clinical manifestations, surgical management, histological grading, and long-term outcome of jugular foramen meningiomas (JFMs). Retrospective study was performed in 22 consecutive patients with primary JFMs from January 2004 to October 2010, enrolling 10 men and 12 women with average age of 39.4 (14-57 years). The most common initial symptom is hearing disorder, followed by lower cranial nerve dysfunctions. The tumor was classified into type I (intracranial) in 1, type II (intracranial) in 15, type IV (intracranial-extracranial) in 6, and none type III (extracranial). Surgical approaches mainly included retrosigmoid in 7, far lateral in 10, and juxtacondylar in 5, with some variations. The gross total resection was achieved in 15 cases and subtotal resection in 7. Fourteen patients (63.6 %) developed new or worse neurological deficits immediately after operation, of whom 11 (78.6 %) got alleviation. Postoperatively, keeping airway patency and prevention from aspiration pneumonia is very important. Nasotracheal intubation is much more tolerated than orotracheal intubation for postoperative patient management. WHO grade 2 was found in four cases (18.2 %) and grade 3 in one. During the average time of follow-up in 83.2 months, only one (grade 3) died of tumor regrowth 20 months after surgery and radiosurgery. Five of 17 patients of grade 1 developed tumor regrowth. Radiosurgery provides a good tumor control for tumor regrowth in grade 1, or postoperative grade 2 tumor. In conclusion, JFMs has a favorable long-term overall survival; however, neurological preservation is still challenging, especially low cranial nerves.

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Surgery of Paraganglioma

Nonaka

Fukushima

2022

Contemporary Skull Base Surgery

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Jugular vein invasion rate in surgically operated paragangliomas: a multimodality retrospective study

Cited by 6 publications

References 17 publications

A rare case of carotid body tumor associated with near complete cerebral sinus thrombosis and idiopathic intracranial hypertension. Management strategy and review of the literature

A rare case of carotid body tumor associated with near complete cerebral sinus thrombosis and idiopathic intracranial hypertension. Management strategy and review of the literature

Microsurgical management of primary jugular foramen meningiomas: a series of 22 cases and review of the literature

Surgery of Paraganglioma

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