65-year-old woman with a right sided vagal paraganglioma. Because a complete jugular foramen syndrome is present, no additional risk of cranial nerve deficit is present when embolizing in the region of the jugular foramen.
A) Selective injection of the right ascending pharyngeal artery (arrow) in lateral projection shows filling of a small tumoral compartment. The vertebral artery (small arrow) is filled retrogradely through the odontoid arcade (arrowhead). B) Selective injection of the right vertebral artery in AP projection shows same tumor opacification through the anastomotic channel (arrowhead).