Summary
A survey is given of the clinical picture, diagnosis and management of foramen jugulare paragangliomas (JFP), based on reports of 175 cases from the literature and personal experience of 26 cases. Special emphasis is given to the operative techniques. Inprovements of diagnostic possibilities as well as operative techniques, including the pre-operative occlusion of tumour-feeding arteries by endovascular methods have markedly reduced the operative mortality to a rate between 0 and 5 percent. The rate of incomplete removal of C and D tumours dropped to about 15%. But very large and extensive tumours remain a real challenge. Teamwork between neuroradiologists, ENT-surgeons and neurosurgeons is mandatory.
Similar content being viewed by others
References
Alford DR, Gulford FR (1962) A comprehensive study of tumours of the glomus jugulare. Laryngoscope 72: 765–787
Berg NO (1950) Tumours arising from tympanic gland (glomus jugularis) and their differential diagnosis. APMIS 27: 194–221
Bickerstaff ER, Howell JS (1963) The neurological importance of tumours of the glomus jugulare. Brain 76: 576–593
Bogdasarian RS, Lotz PR (1979) Multiple simultaneous paragangliomas of the head and neck in association with multiple retroperitoneal pheochromocytomas. Otolaryngol Head Neck Surg 87: 648–652
Bouche J, Guiot G (1961) Méningiome intra-pétreux. Ann Otolaryng 78: 638–641
Buckingham RA, Kenji-Amii-Perrelli SL (1959) Multicentric origin of glomus jugulare tumours. Arch Otolaryngol 70: 104–107
Chase WH (1933) Familial and bilateral tumours of the carotid body. J Pathol Bacteriol 36: 1–12
Cole JM (1979) Radiation of glomus tumours of the temporal bone. Laryngoscope 10: 1623–1628
Conley JJ (1956) Multiple paragangliomas in the head and neck. Arch Otolaryngol 65: 356–359
Ducan A, Lack E, Deck M (1979) Radiological evaluation of paragangliomas of the head and neck. Radiology 132: 99–105
Farrior JB, Hyams U, Beuke RH (1980) Carcinoid apudomas arising in a glomus jugulare tumour: review of endocrine activity in glomus jugulare tumours. Laryngoscope 90: 110–119
Fisch U (1982) Infratemporal fossa approach for glomus tumours of the temporal bone. Ann Otol Rhinol Laryngol 91: 474–479
George B, Riche MC, Reizine D, Deffrennes D, Tran BA, Huy P (1985) Contrôle angiographique et chirurgical des pédicules nourriciers vertébraux et carotidiens des paragangliomes géants de la base du cráne et de cou. Ann Otolarying 102: 59–63
George B (1985) Les tumeurs dites du glomus jugulaire. Présentation générale. Neurochirurgie 31: 333–341
Glasscock ME, Jackson CG, Dickins JRE, Wiet RJ (1979) The surgical management of glomus tumours. Laryngoscope 89: 1640–1651
Guild SR (1941) A hitherto unrecognized structure, the glomus jugularis in man. Anat Rec 79 [Suppl 2]: 28
Jackson CG, Glasscock ME, Harris PF (1982) Glomus tumours: diagnosis, classification, and management of large lesions. Arch Otolaryngol 108: 401–410
Kumar A, Fisch U (1983) The infratemporal fossa approach for lesions of the skull base. In: Krayenbuhl H (ed) Advances and technical standards in neurosurgery, Vol 10. Springer, Wien, pp 187–220
Lasjaunias P (1981, 1983) Cranio-cervical and upper cervical arteries. Tomes 1 et 2. Williams and Wilkins, Baltimore
Lasjaunias P (1985) Paragangliomes branchiaux (PB). Mise au point et revue de 37 cas angiographiés et embolisés entre 1977 et 1983. Journal Français d'Oto-Rhino-Laryngologie 34 (1): 7–27
Moret J, Lasjaunias P, Theron J (1980) Vascular compartment and territories of tympano-jugular glomic tumours. J Belge Radiol 63: 321–337
Moret J (1982) Vascularisation de l'oreille et de l'angle pontocérébelleux. J Neuroradiol 9: 215–226
Parkin JL (1981) Familial multiple glomus tumours and pheochromocytomas. Ann Otol Rhinol Laryngol 90: 60–63
Rosenwasser H (1958) Metastasis from glomus jugulare tumours. Arch Otolaryngol 67: 197–203
Rosenwasser H (1968) Monograph on glomus tumours. Arch Otolarnygol 88: 29–66
Semmes RE, Adams S (1953) Discussion of paper by Alexander E. Tumours of glomus jugulare: follow-up study two years after roentgenography. J Neurosurg 10: 672–674
Silverstone S (1973) Radiation therapy of glomus jugulare tumours. Arch Otolarnygol 97: 43–48
Spector GJ, Compagno J, Perez CA, Maisel RH, Ogura JH (1975) Glomus jugulare tumours. Effects of radiotherapy. Cancer 35: 1316–1321
Spector GJ, Druck NS, Gado M (1976) Neurologic manifestation of glomus tumour in the head and neck. Arch Neurol 33: 270–274
Van Baars F, Van Der Broek P, Cremers C, Veldman J (1981) Familial non-chromaffinic paragangliomas (glomus tumours) clinical aspects. Laryngoscope 91: 988–996
Wiet RJ, Kazan R, Sacy G (1982) Skull base mapping. Laryngoscope 92: 515–523
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
George, B. Jugulare foramen paragangliomas. Acta neurochir 118, 20–26 (1992). https://doi.org/10.1007/BF01400722
Issue Date:
DOI: https://doi.org/10.1007/BF01400722