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. 2000;10(2):101–105. doi: 10.1055/s-2000-7275

Glomus Jugulare Tumor Presenting with Intracerebellar Hemorrhage

Kazunari Yoshida, Makoto Katayama, Yoshiaki Kuroshima, Kazunori Akaji, Satoshi Onozuka, Ryuzo Shiobara, Takeshi Kawase
PMCID: PMC1656757  PMID: 17171110

Abstract

What is believed to be the first case of a glomus jugulare tumor presenting with intracerebellar hemorrhage is described. A 25-year-old normotensive man suddenly suffered from severe headache, nausea, vomiting, vertigo, and ataxia due to an intracerebellar hemorrhage. Magnetic resonance imaging and angiography revealed a highly vascular jugulare foramen tumor extending into the intracranial space adjacent to the hematoma. Total removal of the tumor was performed successfully via the combined pre- and retrosigmoid approach, and the histologic diagnosis was a glomus jugulare tumor. We concluded that one of the numerous draining veins on the surface of intracranial tumor, which were observed during the operation, was the origin of the intracerebellar hemorrhage.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Anand V. K., Leonetti J. P., al-Mefty O. Neurovascular considerations in surgery of glomus tumors with intracranial extensions. Laryngoscope. 1993 Jul;103(7):722–728. doi: 10.1288/00005537-199307000-00003. [DOI] [PubMed] [Google Scholar]
  2. Angeli S. I., Sato Y., Gantz B. J. Glomus jugulare tumors masquerading as benign intracranial hypertension. Arch Otolaryngol Head Neck Surg. 1994 Nov;120(11):1277–1280. doi: 10.1001/archotol.1994.01880350083015. [DOI] [PubMed] [Google Scholar]
  3. Blumenfeld J., Cohen N., Anwar M., Teitelman G., Laragh J. H., Ruggiero D. A. Hypertension and a tumor of the glomus jugulare region. Evidence for epinephrine biosynthesis. Am J Hypertens. 1993 May;6(5 Pt 1):382–387. doi: 10.1093/ajh/6.5.382. [DOI] [PubMed] [Google Scholar]
  4. Brown J. S. Glomus jugulare tumors revisited: a ten-year statistical follow-up of 231 cases. Laryngoscope. 1985 Mar;95(3):284–288. doi: 10.1288/00005537-198503000-00008. [DOI] [PubMed] [Google Scholar]
  5. Cantrell R. W., Kaplan M. J., Atuk N. O., Winn H. R., Jahrsdoerfer R. A. Catecholamine-secreting infratemporal fossa paraganglioma. Ann Otol Rhinol Laryngol. 1984 Nov-Dec;93(6 Pt 1):583–588. doi: 10.1177/000348948409300610. [DOI] [PubMed] [Google Scholar]
  6. Cole J. M., Beiler D. Long-term results of treatment for glomus jugulare and glomus vagale tumors with radiotherapy. Laryngoscope. 1994 Dec;104(12):1461–1465. doi: 10.1288/00005537-199412000-00006. [DOI] [PubMed] [Google Scholar]
  7. Fisch U. Infratemporal fossa approach for glomus tumors of the temporal bone. Ann Otol Rhinol Laryngol. 1982 Sep-Oct;91(5 Pt 1):474–479. doi: 10.1177/000348948209100502. [DOI] [PubMed] [Google Scholar]
  8. Fisch U. Infratemporal fossa approach to tumours of the temporal bone and base of the skull. J Laryngol Otol. 1978 Nov;92(11):949–967. doi: 10.1017/s0022215100086382. [DOI] [PubMed] [Google Scholar]
  9. Gardner G., Cocke E. W., Jr, Robertson J. T., Trumbull M. L., Palmer R. E. Combined approach surgery for removal of glomus jugulare tumors. Laryngoscope. 1977 May;87(5 Pt 1):665–688. doi: 10.1002/lary.5540870503. [DOI] [PubMed] [Google Scholar]
  10. George B. Jugulare foramen paragangliomas. Acta Neurochir (Wien) 1992;118(1-2):20–26. doi: 10.1007/BF01400722. [DOI] [PubMed] [Google Scholar]
  11. Hosoda S., Suzuki H., Kito H., Isojima G., Ishigami H. Tumor of glomus jugulare report of a case. Acta Pathol Jpn. 1975 Sep;25(5):589–597. doi: 10.1111/j.1440-1827.1975.tb01993.x. [DOI] [PubMed] [Google Scholar]
  12. Jackson C. G., Cueva R. A., Thedinger B. A., Glasscock M. E., 3rd Conservation surgery for glomus jugulare tumors: the value of early diagnosis. Laryngoscope. 1990 Oct;100(10 Pt 1):1031–1036. doi: 10.1288/00005537-199010000-00001. [DOI] [PubMed] [Google Scholar]
  13. Kinney S. E. Glomus jugulare tumor surgery with intracranial extension. Otolaryngol Head Neck Surg (1979) 1980 Sep-Oct;88(5):531–535. doi: 10.1177/019459988008800504. [DOI] [PubMed] [Google Scholar]
  14. Kinney S. E. Glomus jugulare tumors with intracranial extension. Am J Otol. 1979 Oct;1(2):67–71. [PubMed] [Google Scholar]
  15. Kudoh Y., Kuroda S., Shimamoto K., Iimura O. Intracranial pheochromocytoma--a case of noradrenaline-secreting glomus jugulare tumor. Jpn Circ J. 1995 Jun;59(6):365–371. doi: 10.1253/jcj.59.365. [DOI] [PubMed] [Google Scholar]
  16. Larner J. M., Hahn S. S., Spaulding C. A., Constable W. C. Glomus jugulare tumors. Long-term control by radiation therapy. Cancer. 1992 Apr 1;69(7):1813–1817. doi: 10.1002/1097-0142(19920401)69:7<1813::aid-cncr2820690725>3.0.co;2-p. [DOI] [PubMed] [Google Scholar]
  17. Matishak M. Z., Symon L., Cheeseman A., Pamphlett R. Catecholamine-secreting paragangliomas of the base of the skull. Report of two cases. J Neurosurg. 1987 Apr;66(4):604–608. doi: 10.3171/jns.1987.66.4.0604. [DOI] [PubMed] [Google Scholar]
  18. Matsuguchi H., Tsuneyoshi M., Takeshita A., Nakamura M., Kato T., Arakawa K. Noradrenaline-secreting glomus jugulare tumor with cyclic change of blood pressure. Arch Intern Med. 1975 Aug;135(8):1110–1113. [PubMed] [Google Scholar]
  19. Moddy D. M., Ghatak N. R., Kelly D. L., Jr Extensive calcification in a tumor of the glomus jugulare. Neuroradiology. 1976;12(3):131–135. doi: 10.1007/BF00341857. [DOI] [PubMed] [Google Scholar]
  20. Murphy T. P., Brackmann D. E. Effects of preoperative embolization on glomus jugulare tumors. Laryngoscope. 1989 Dec;99(12):1244–1247. doi: 10.1288/00005537-198912000-00007. [DOI] [PubMed] [Google Scholar]
  21. Oldring D., Fisch U. Glomus tumors of the temporal region: surgical therapy. Am J Otol. 1979 Jul;1(1):7–18. [PubMed] [Google Scholar]
  22. Patel S. J., Sekhar L. N., Cass S. P., Hirsch B. E. Combined approaches for resection of extensive glomus jugulare tumors. A review of 12 cases. J Neurosurg. 1994 Jun;80(6):1026–1038. doi: 10.3171/jns.1994.80.6.1026. [DOI] [PubMed] [Google Scholar]
  23. Spector G. J., Ciralsky R., Maisel R. H., Ogura J. H. IV. Multiple glomus tumors in the head and neck. Laryngoscope. 1975 Jun;85(6):1066–1075. doi: 10.1288/00005537-197506000-00016. [DOI] [PubMed] [Google Scholar]
  24. Watkins L. D., Mendoza N., Cheesman A. D., Symon L. Glomus jugulare tumours: a review of 61 cases. Acta Neurochir (Wien) 1994;130(1-4):66–70. doi: 10.1007/BF01405504. [DOI] [PubMed] [Google Scholar]
  25. Young N. M., Wiet R. J., Russell E. J., Monsell E. M. Superselective embolization of glomus jugulare tumors. Ann Otol Rhinol Laryngol. 1988 Nov-Dec;97(6 Pt 1):613–620. doi: 10.1177/000348948809700607. [DOI] [PubMed] [Google Scholar]
  26. ZAK F. G. An expanded concept of tumors of glomic tissue. N Y State J Med. 1954 Apr 15;54(8):1153–1165. [PubMed] [Google Scholar]

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