J Korean Neurosurg Soc.  1999 Oct;28(10):1512-1516.

Surgical Resection of Glomus Jugulare Tumor via Infratemporal Approach after Preoperative Embolization

• Choe IS
• Bak KH
• Kim JM
• Kim CH
• Kim NK
• Tae K

Abstract

Glomus jugulare tumors are usually slow growing, but highly vascularized tumor. The authors report the case of huge glomus jugulare tumor treated by surgical resection with preoperative embolization. A 32-year old male patient presented with a history of right-sided facial palsy and hearing disturbance. Magnetic resonance imaging demonstrated an irregular large mass with multiple signal voids in the right temporal area. Prior to surgical excision of tumor, the patient underwent superselective embolization. Embolization of the tumor and its dominant feeding arteries were achieved. Six days later, the patient underwent an infratemporal fossa approach to remove the tumor. The patient did well postoperatively except CSF leakage that was treated successfully by dura repair. We discuss the usefulness of preoperative embolization and infratemporal approach for the huge glomus jugulare tumor.

Keyword

Glomus jugulare tumor; Embolization; Infratemporal approach

MeSH Terms

Adult
Arteries
Facial Paralysis
Glomus Jugulare Tumor*
Glomus Jugulare*
Hearing
Humans
Magnetic Resonance Imaging
Male