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Jugular Foramen Tumors

Putipun Puataweepong, Mantana Dhanachai, Ake Hansasuta, Kriangsak Saetia, Somjai Dangprasert, Chomporn Sitathanee, Pornpan Yongvithisatid
BACKGROUND: Intracranial nonvestibular schwannomas arising from various cranial nerves excluding CN VIII are uncommon. Recently, stereotactic radiosurgery (SRS) and fractionated stereotactic radiotherapy (SRT) have been widely reported as effective treatment modalities for nonvestibular schwannomas. The purpose of this study was to study the long term clinical outcome for nonvestibular schwannomas treated with both XKnife and CyberKnife (CK) radiosurgery at one institution. MATERIALS AND METHODS: From 2004 to 2013, fiftytwo nonvestibular schwannoma patients were included in this study, 33 patients (63%) were treated with CK, and 19 (37%) were treated with XKnife...
2016: Asian Pacific Journal of Cancer Prevention: APJCP
Samuel Dobrowolski, Guilherme Lepski, Marcos Tatagiba
Hypoglossal canal meningiomas (HCMs) are extremely rare, and a consensus has yet to be reached regarding the most appropriate treatment approach for these types of tumors. Surgical procedures to the hypoglossal canal are often complex and lengthy, and are often associated with high rates of morbidity. Several approaches have been used to remove such lesions. Most of these approaches have been adapted from methods used for jugular foramen surgery. Our goal is to present an approach that improves visualization of the hypoglossal canal, thus reducing this pathology's risk of morbidity...
2016: Journal of Surgical Case Reports
Jie Tang, Liwei Zhang, Junting Zhang, Zhen Wu, Xinru Xiao, Dabiao Zhou, Guijun Jia, Wang Jia
This study summarized clinical manifestations, surgical management, histological grading, and long-term outcome of jugular foramen meningiomas (JFMs). Retrospective study was performed in 22 consecutive patients with primary JFMs from January 2004 to October 2010, enrolling 10 men and 12 women with average age of 39.4 (14-57 years). The most common initial symptom is hearing disorder, followed by lower cranial nerve dysfunctions. The tumor was classified into type I (intracranial) in 1, type II (intracranial) in 15, type IV (intracranial-extracranial) in 6, and none type III (extracranial)...
October 2016: Neurosurgical Review
Michael D Puricelli, David R Gilley, Jared S Coberly, Arnaldo Rivera, Alexander G Bien, Robert P Zitsch, Douglas C Miller, James Lin
No abstract text is available yet for this article.
August 2016: Otology & Neurotology
Harun-Ur-Rashid Mohammad, Sudhindra Vooturi, Manas Panigrahi
BACKGROUND: We report our experience with the far lateral approach (FLA) and its modifications in the surgical resection of tumors of craniocervical junction (CCJ). MATERIALS AND METHODOLOGY: We retrospectively reviewed data of 36 patients with CCJ lesions who underwent surgical excision. Data are presented as frequency/percentages. Tumor locations were classified by anatomical relation around the CCJ (on axial plane). For anterior and laterally placed tumors, we preferred the FLA and its modification...
May 2016: Neurology India
Walter C Jean, Daniel Felbaum
Tumors of the jugular foramen remain challenging lesions despite advances in surgical technique and medical technology. Tumors with extensive extra- and intracranial components necessitate both radical neck dissection maneuvers combined with skull base approaches. We present a single surgeon's perspective in managing these difficult tumors.
2016: Curēus
Toshinori Hasegawa, Takenori Kato, Yoshihisa Kida, Ayaka Sasaki, Yoshiyasu Iwai, Takeshi Kondoh, Takahiko Tsugawa, Manabu Sato, Mitsuya Sato, Osamu Nagano, Kotaro Nakaya, Kiyoshi Nakazaki, Tadashige Kano, Koichi Hasui, Yasushi Nagatomo, Soichiro Yasuda, Akihito Moriki, Toru Serizawa, Seiki Osano, Akira Inoue
OBJECTIVE This study aimed to explore the efficacy and safety of stereotactic radiosurgery in patients with jugular foramen schwannomas (JFSs). METHODS This study was a multiinstitutional retrospective analysis of 117 patients with JFSs who were treated with Gamma Knife surgery (GKS) at 18 medical centers of the Japan Leksell Gamma Knife Society. The median age of the patients was 53 years. Fifty-six patients underwent GKS as their initial treatment, while 61 patients had previously undergone resection. At the time of GKS, 46 patients (39%) had hoarseness, 45 (38%) had hearing disturbances, and 43 (36%) had swallowing disturbances...
January 22, 2016: Journal of Neurosurgery
Ying Yu, Haiyang Xu, Yubo Wang, Gang Zhao
Papillary meningioma (PM) is a rare histological variant of intracranial meningioma, which displays an aggressive behavior and its management is difficult. The present study reported the case of a 21-year-old male patient, who presented with headaches and dizziness. Upon neurological examination, left hypoglossal nerve palsy and left cerebellar signs were observed. Computed tomography and magnetic resonance imaging scans of the brain revealed a high-density mass in the left jugular foramen area. Following an uneventful complete surgical resection of the tumor, a definitive diagnosis of Grade III PM was determined based on the histopathological findings, according to the World Health Organization classification...
December 2015: Oncology Letters
Yan Sun, Qi Huang, Jun Yang, Zhaoyan Wang, Hao Wu
OBJECTIVE: To discuss surgical approach selection and treatment strategy for preservation of the facial and lower cranial nerves' function in jugular foramen schwannomas surgery. METHODS: Retrospectively analyzed the clinical presentation, surgical approaches selection, facial and lower cranial nerves follow-up outcomes of 38 jugular foramen Schwannomas, who received operations in the Department of Otolaryngology Head and Neck Surgery, Xinhua Hospital affiliated to Shanghai Jiaotong University, School of Medicine during 2002 and 2012...
July 2015: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
I V Renuka, P Premalatha, T Rayapa Reddy, D Rajasekhar
Clear cell carcinoma not otherwise specified type affecting the parotid gland is rare and extension of this tumor through the jugular foramen presenting as an intracranial space occupying lesion is extremely uncommon. We report a case of clear cell carcinoma of the parotid gland presenting as a left cerebellopontine angle tumor.
December 2015: Indian Journal of Otolaryngology and Head and Neck Surgery
Eun Suk Park, Eun Jung Lee, Jun Bum Park, Young Hyun Cho, Seok Ho Hong, Jeong Hoon Kim, Chang Jin Kim
BACKGROUND: Despite advances in skull base surgery, achieving effective surgical management of jugular foramen schwannomas (JFSs) that avoids postoperative cranial nerve (CN) deficits remains a challenge. Subtotal resection followed by radiosurgery (rather than radical resection) is increasingly being viewed as a better treatment strategy. Here, an institutional database was retrospectively analyzed for outcomes after surgical treatment of JFSs to evaluate the optimal strategy for managing JFSs...
April 2016: World Neurosurgery
Toshio Matsushima, Toshiro Katsuta, Fumitaka Yoshioka
No abstract text is available yet for this article.
January 2015: Nihon Jibiinkoka Gakkai Kaiho
Madjid Samii, Maysam Alimohamadi, Venelin Gerganov
OBJECTIVE: Removal of jugular foramen (JF) tumors usually requires extensive skull base approaches and is frequently associated with postoperative morbidities such as lower cranial nerve injury. The endoscope-assisted retrosigmoid infralabyrinthine approach is a relatively new approach to tumors extending into the bony canal of the JF. The authors present their experience with this approach. METHODS: The endoscope-assisted retrosigmoid infralabyrinthine approach was used in 7 patients, including 5 with schwannomas and 2 with paragangliomas...
April 2016: Journal of Neurosurgery
Masaaki Taniguchi, Nobuyuki Akutsu, Katsu Mizukawa, Masaaki Kohta, Hidehito Kimura, Eiji Kohmura
OBJECTIVE: The surgical approach to lesions involving the inferior petrous apex (IPA) is still challenging. The purpose of this study is to demonstrate the anatomical features of the IPA and to assess the applicability of an endoscopic endonasal approach through the foramen lacerum (translacerum approach) to the IPA. METHODS: The surgical simulation of the endoscopic endonasal translacerum approach was conducted in 3 cadaver heads. The same technique was applied in 4 patients harboring tumors involving the IPA (3 chordomas and 1 chondro-sarcoma)...
April 2016: Journal of Neurosurgery
R Shane Tubbs, Christoph J Griessenauer, Muhammad Bilal, Joel Raborn, Marios Loukas, Aaron A Cohen-Gadol
Introduction Preserving cranial nerve (CN) function during tumor removal at the jugular foramen is challenging. No anatomical study has better defined the relevant dural septations on the inner surface of the jugular foramen. This study was undertaken to elucidate this anatomy. Methods Fourteen cadaveric heads (28 sides) were dissected, and relationships of the meningeal coverings of the jugular foramen and adjacent CNs documented. A classification scheme was created to better describe the dural septations of the inner surface of the jugular foramen...
June 2015: Journal of Neurological Surgery. Part B, Skull Base
Yoko T Udaka, Janet M Yoon, Denise M Malicki, Paritosh C Khanna, Michael L Levy, John R Crawford
BACKGROUND: Atypical teratoid rhabdoid tumor is a rare malignant neoplasm that represents 1%-2% of all pediatric central nervous system tumors. Immunohistochemistry plays an important role in establishing the diagnosis with a loss of INI-1 staining in tumor cells. In this case report, we describe a teenager with an unusual presentation and pattern of infiltration of the tumor. CASE DESCRIPTION: A 13-year-old boy presented with a history over several months of progressive nausea, weight loss, and hoarseness of voice associated with multiple lower cranial nerve palsies on neurologic examination...
December 2015: World Neurosurgery
Madjid Samii, Maysam Alimohamadi, Venelin Gerganov
BACKGROUND: Surgery plays a crucial role in the management of jugular foramen schwannomas (JFSs). Still, it remains challenging, particularly in cases of tumor growth inside the bony canal of the jugular foramen (JF). OBJECTIVE: To present our recent experience with surgical treatment of JFSs, with particular focus on the efficacy and safety of the endoscope-assisted retrosigmoid infralabyrinthine and transcervical approaches for tumors extending through the JF bony canal...
September 2015: Neurosurgery
A Szymańska, M Szymański, E Czekajska-Chehab, M Szczerbo-Trojanowska
OBJECTIVE: Most common tumors of the jugular foramen are paragangliomas. However, other lesions, also malignant, may involve the jugular foramen and mimic radiographic presentation of paragangliomas. Therefore, a correct preoperative diagnosis is crucial for best treatment planning. This study analyzes imaging characteristics of non-paraganglioma neoplasms involving the jugular foramen, with attention given to features helpful in differential diagnosis. STUDY DESIGN: A retrospective chart search...
2015: Neurologia i Neurochirurgia Polska
Noritaka Komune, Ken Matsushima, Toshio Matsushima, Shizuo Komune, Albert L Rhoton
BACKGROUND: The variety of surgical approaches to jugular schwannomas makes selection of an approach difficult. The purpose of this study was to define the anatomic elements of these approaches. METHODS: Ten adult cadaveric heads were examined. RESULTS: There are lateral, posterior, and anterior routes that access various parts of the jugular foramen. Removal of the jugular process of the occipital bone provides access to the posterior aspect of the foramen, the infralabyrinthine mastoidectomy provides access to the lateral edge and dome of the jugular bulb, and the preauricular approaches provide access to the anterior margin of the bulb and foramen...
April 2016: Head & Neck
Soo Jeong Park, Na-Rae Yang, Eui Kyo Seo
Vestibular schwannoma (VS) usually present the widening of internal auditory canal (IAC), and these bony changes are typically limited to IAC, not extend to temporal bone. Temporal bone invasion by VS is extremely rare. We report 51-year-old man who revealed temporal bone destruction beyond IAC by unilateral VS. The bony destruction extended anteriorly to the carotid canal and inferiorly to the jugular foramen. On histopathologic examination, the tumor showed typical benign schwannoma and did not show any unusual vascularity or malignant feature...
April 2015: Journal of Korean Neurosurgical Society
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