Presented at the 2008 Triological Society Meeting, Middle Section, Chicago, Illinois, U.S.A., January 18–20, 2008. Editor's Note: This Manuscript was accepted for publication February 21, 2008.
Secreting Jugulotympanic Paraganglioma With Venous Involvement into the Thorax†
Article first published online: 2 JAN 2009
Copyright © 2008 The Triological Society
Volume 118, Issue 7, pages 1233–1235, July 2008
How to Cite
Daramola, O. O., Shinners, M. J. and Levine, S. C. (2008), Secreting Jugulotympanic Paraganglioma With Venous Involvement into the Thorax. The Laryngoscope, 118: 1233–1235. doi: 10.1097/MLG.0b013e31816fce05
- Issue published online: 2 JAN 2009
- Article first published online: 2 JAN 2009
- Jugulotympanic paraganglioma;
- glomus jugulare;
- magnetic resonance venography;
- internal jugular vein tumor;
- venous gas embolism
Paragangliomas are highly vascular tumors that arise from chief cells in extra-adrenal paraganglia of the autonomic nervous system. Jugulotympanic paragangliomas involve the middle ear and jugular fossa. Secreting jugulotympanic paragangliomas with thoracic extension are rare. We report a case with unexpected involvement of the internal jugular vein. Otolaryngologists should be aware that the jugulotympanic paragangliomas traverse variable anatomic pathways. Multiple imaging options, including magnetic resonance venography, are useful and should include the neck for definitive characterization of tumor anatomy. Patients with refractory hypertension and masses suspicious for paraganglioma should be examined for functional tumors.