Retro-tympanic pulsatile mass originating from dumb-bell jugular foramen schwannoma

Acta Neurochir (Wien). 2008 Mar;150(3):291-3; discussion 293. doi: 10.1007/s00701-007-1456-y. Epub 2008 Feb 4.

Abstract

Background: Jugular foramen (JF) tumours are uncommon with paraganglioma, schwannoma and meningioma occurring most commonly in this location. JF schwannoma with extension to the retro-tympanic area has been described only once.

Methods: 20-year-old man presented with headache, blurred vision, vomiting and diplopia.

Findings: A left pulsatile retro-tympanic mass was seen at otoscopy. A jugular foramen tumour was found on CT and MR images. The intracranial portion of the tumour later diagnosed as schwannoma was removed. Control ENT examination confirmed that the residual retro-tympanic mass was no-longer pulsatile.

Conclusions: Jugular foramen schwannomas may also extend into the retro-tympanic area.

Publication types

  • Case Reports

MeSH terms

  • Accessory Nerve / pathology
  • Accessory Nerve / physiopathology
  • Adult
  • Ataxia / etiology
  • Ataxia / pathology
  • Ataxia / physiopathology
  • Cerebral Angiography
  • Cranial Nerve Neoplasms / pathology*
  • Cranial Nerve Neoplasms / physiopathology
  • Cranial Nerve Neoplasms / surgery
  • Ear, Middle / anatomy & histology
  • Ear, Middle / diagnostic imaging
  • Ear, Middle / pathology
  • Hearing Loss / etiology
  • Hearing Loss / pathology
  • Hearing Loss / physiopathology
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Microsurgery
  • Neurilemmoma / pathology*
  • Neurilemmoma / physiopathology
  • Neurilemmoma / surgery
  • Neurosurgical Procedures
  • Occipital Bone / anatomy & histology
  • Occipital Bone / diagnostic imaging
  • Occipital Bone / pathology
  • Skull Base Neoplasms / pathology*
  • Skull Base Neoplasms / physiopathology
  • Skull Base Neoplasms / surgery
  • Temporal Bone / anatomy & histology
  • Temporal Bone / diagnostic imaging
  • Temporal Bone / pathology*
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Vagus Nerve / pathology
  • Vagus Nerve / physiopathology