JUGULAR FORAMEN SCHWANNOMA—A VERY RARE ENTITY

Authors

  • Manzoor Ahmad
  • Rizwan Masood Butt
  • Nazir Ahmad

Abstract

Jugular foramen schwannoma is a very rare tumour and very few cases have been reported in theliterature. Usually it is misdiagnosed as acoustic neuroma and the diagnosis is made peroperatively.It has significant neurological morbidity and mortality. In addition to the experience and expertise ofthe surgeon, introduction of better anaesthesia and microsurgical techniques have significantlyreduced the morbidity and mortality. We present a case of jugular foramen schwannoma who wasoperated by the senior author. The outcome was very good and the patient recovered without anypermanent deficits. The epidemiology, pathophysiology, clinical features, radiographic findings andtreatment of this rare entity are reviewed.Keywords: Jugular foramen, schwannoma, surgical options, outcome

References

Ramina R, Maniglia JJ, Fernandes YB, Paschoal JR, Pfeilsticker

LN, Neto MC, et al. Jugular foramen tumors: diagnosis and

treatment. Neurosurg Focus 2004;17(2):31–40.

Calenbergh FV, Noens B, Delaere P, Desloovere C, Loon JV,

Goffin J, et al. Jugular foramen schwannoma: Surgical

experience in six cases. Acta chir Belg 2004;104:435–9.

Gupta V, Kumar S, Singh AK, Tatke M. Glossopharyngeal

schwannoma: a case report and review of literature. Neurol India

;50:190–3.

Foy PM. Schwannoma and neurofibroma. In: Miller JD, editor.

Northfield’s Surgery of the Central Nervous System.

UK:Blackwell Scientific Publications;1987. p. 309–10.

Sen CN. Tumors of the cranial base. In Rengachary SS,

Wilkins RH, (eds) Principles of Neurosurgery, New York:

Gower Medical Publishing; 1994. Chapter 40.

Neely JG. Reversible compression neuropathy of the eighth

cranial nerve from a large jugular foramen schwannoma.

Archives Otolaryngol Head Neck Surg 1979;105:555–60.

Dubois P. Tumors of the Cerebellopontine angle: Radiology. In:

Wilkins RH and Rengachary SS, editors. Neurosurgery; USA:

McGraw-Hill Book Company;1985.p.717–8.

Rosenbloom SB, Rosenbaum AE. Radiology of posterior fossa

tumors. In: Wilkins RH, Rengachary SS, (eds). Neurosurgery.

USA: McGraw-Hill Book Company; 1985. p. 743–7.

Taniguchi M, Kato A, Taki T, Tsuzuki T, Hashimoto N,

Fujimoto Y, et al. Endoscope assisted removal of jugular

foramen schwannoma; report of 3 cases. Minim Invasive

Neurosurg. 2005;48(6):365–8.

Pollock BE, Kondziolka D, Flickinger JC, Maitz A, Lunsford

LD. Preservation of cranial nerve function after radiosurgery for

nonacoustic schwannomas. Neurosurg 1993;33(4):597–601.

Published

2009-06-01