Jugular Foramen Meningioma with Transverse and Sigmoid Sinuses Invasion and Jugular Vein Extension

2017 ◽  
Vol 78 (06) ◽  
pp. 617-622
Author(s):  
Ivan Radovanovic ◽  
Ivan Cabrilo ◽  
Carlo Schaller ◽  
Jeremy Brodard
Keyword(s):  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Adult Population ◽  
Cranial Nerves ◽  
Venous Occlusion ◽  
Jugular Foramen ◽  
Jugular Bulb ◽  
En Bloc ◽  
Conventional Angiography ◽  
First Case

AbstractWe present the case of a jugular foramen meningioma with predominantly intraluminal invasion of the transverse, sigmoid sinuses, jugular bulb, and internal jugular vein with venous occlusion in a 45-year-old woman. Magnetic resonance imaging (MRI) of the brain and conventional angiography were performed preoperatively and revealed a right-sided extra-axial dural-based mass in the jugular foramen. The surgical approach was a high cervical approach with exposure of the internal carotid artery, jugular vein, and cranial nerves IX to XII as well as a combined posterior temporo-basal and retrosigmoid craniotomy with mastoidectomy and posterior retrolabyrinthine petrosectomy. The transverse, sigmoid sinuses, jugular bulb, and superior internal jugular vein were removed en bloc, and the exophytic intradural tumor extension around cranial nerves IX, X, XI, and XII was resected subtotally. Postoperatively, the patient presented a transient right facial weakness (House-Brackmann II). MRI showed partial resection. This is the first case report of a jugular foramen meningioma with transverse and sigmoid sinuses invasion and jugular vein extension in the adult population.

Meningioma with dural venous sinus invasion and jugular vein extension

2008 ◽  
Vol 2 (6) ◽  
pp. 391-396 ◽  
Author(s):  
Shobhan Vachhrajani ◽  
Andrew Jea ◽  
John A. Rutka ◽  
Susan Blaser ◽  
Michael Cusimano ◽  
...  
Keyword(s):  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Jugular Bulb ◽  
Venous Sinus ◽  
Gross Total Resection ◽  
Dural Sinus ◽  
Intracranial Meningioma ◽  
Total Resection ◽  
Conventional Angiography ◽  
Computed Tomography Scanning

Meningiomas represent the most common benign intracranial neoplasm in adults, with a considerably lower incidence in children. The authors present the case of an intracranial meningioma with invasion of, and intraluminal extension into, the transverse and sigmoid sinuses, jugular bulb, and internal jugular vein, resulting in venous occlusion in a 14-year-old girl. Computed tomography scanning, MR imaging, and conventional angiography were performed preoperatively. The patient underwent a 2-stage resection: the supratentorial component was resected first, and the infratentorial and venous sinus and jugular vein components were subsequently removed using a combined skull base approach. Gross-total resection was achieved by opening the lateral dural sinus and removing the meningioma from within the transverse and sigmoid sinuses, the jugular bulb, and the internal jugular vein. The patient remained neurologically intact after the staged tumor resections. Postoperative imaging confirmed the gross-total resection. This case illustrates the unusual property of an intracranial meningioma to invade the intrasinusoidal space and extend into the jugular vein without adherence to the underlying venous endothelium of the jugular vein.

scholarly journals Morphometric Study of Jugular Foramen and Jugular Fossa of Dried Adult Human Skulls and Its Clinical Significance

2019 ◽  
Vol 08 (04) ◽  
pp. 160-164
Author(s):  
Govindarajan Amudha ◽  
Chandrasekaran Nandhini Aishwarya ◽  
Deborah Joy Hepzibah ◽  
Vaujapuri Anandhavadivel Kesavan ◽  
Anaimalai Kandavadivelu Manicka Vasuki
Keyword(s):  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Cranial Nerves ◽  
Jugular Foramen ◽  
Morphometric Study ◽  
Clear Understanding ◽  
Inferior Petrosal Sinus ◽  
Jugular Fossa ◽  
Human Skulls ◽  
The Right

Abstract Introduction Jugular foramen is one of the most fascinating foramina of the human skull. It is a complex, irregular bony canal located between the occipital bone and petrous part of the temporal bone. Many important structures, like 9th, 10th, 11th cranial nerves, meningeal branch of occipital and ascending pharyngeal arteries, internal jugular vein, and inferior petrosal sinus, are passing through it. The jugular fossa has a septum and a dome. The septum divides the foramen into two compartments: anteromedial compartment (pars nervosa) and posterolateral compartment (pars vascularis). The dome contains superior bulb of internal jugular vein. The architecture of the foramen varies in size, shape, and laterality besides differences related to sex and race. The morphometric measurements of jugular foramen are very important for neurosurgeries and head and neck surgeries. Objectives The aim of the present study is to study the morphology of jugular foramen along with its dimensions, compartments, presence of partial or complete septa and dome. Materials and Methods A total number of 60 jugular foramina were examined from 30 adult dry human skulls of unknown age and sex from the Department of Anatomy, PSG Institute of Medical Sciences and Research, Coimbatore. Measurements were taken using Digital Vernier calipers. Results were analyzed statistically. Results The length, width, and surface area of jugular foramen of right side were measured and compared with the left side. Length and width of the jugular foramen was significantly higher on the right side. The presence of partial septum was found in 27 skulls (90%) on the right side and 29 skulls (99.7%) on the left side, respectively. Dome was present in 100% of the jugular foramina on the right side and 90% of the jugular foramina on the left side. Separate opening for inferior petrosal sinus was found in eight skulls (27%) on the right side and four skulls (13%) on the left side. Conclusion This study provides a clear understanding of anatomy of jugular foramen and supports the reported morphometric variations. The morphometric variations of jugular foramen in the parameters of the skull are probably due to ethnic and racial factors. Knowledge of these variations is important for neurosurgeons and radiologists who deal with space occupying lesions of the structures surrounding jugular foramen. This study may be helpful for ENT surgeons while performing middle ear surgeries.

Variations in the Structure of the Jugular Foramen of Human Skull

2013 ◽  
Vol 10 (2) ◽  
pp. 45-49 ◽  
Author(s):  
SM Akram Hossain ◽  
SM Moshadeq Hossain ◽  
Fakhrul Amin Mohammad Hasanul Banna
Keyword(s):  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Jugular Foramen ◽  
Jugular Bulb ◽  
Cross Sectional ◽  
Medical College ◽  
Geographical Variations ◽  
Pass Through ◽  
The Right ◽  
Study Type

Context: The jugular foramen is one of the most fascinating foramen present at the base of the skull attracting the imagination of many Anatomists worldwide as many important structures pass through it, and amongst them the intriguing structure is the internal jugular vein. The shape and size of the jugular foramen is related to the size of the internal jugular vein and the presence or absence of a prominent superior bulb. As most of the textbooks of Anatomy describe that the right jugular foramen is usually larger than the left jugular foramen. Henceforth the present study was undertaken in 55 skulls from the dept. of Anatomy. Measurements were taken with the help of sliding vernier caliper. Study type: Cross-sectional descriptive type. Place and period of study: Department of Anatomy, Rajshahi Medical College, Rajshahi and Pabna Medical College, Pabna from April 2010 to June 2011. Materials and Methods: Total fifty five (55) human adult skulls were collected from the Anatomy department of Rajshahi Medical College, Rajshahi and Pabna Medical College, Pabna at different times of the study period. The study was conducted to observe variations in the structure of the jugular foramen of the human’s skull. Result: Out of 55 skulls (110 foramina) studied, the presence of dome indicating the presence of jugular bulb was found bilaterally in 100% of cases. 58.18% of cases showed that the size of right foramina were larger than the left foramina whereas 20% of cases showed that right foramina were equal to the left and in 21.82% of cases the left foramina were larger than the right side foramina. An important observation in the present study was the presence of either complete or partial septation in the jugular foramen. Conclusion: The findings of the study reveals that there are some differences among some parameters. The variations are might be due to the geographical variations of the skeletons. It needs further study with larger sample size from different geographical areas of Bangladesh. DOI: http://dx.doi.org/10.3329/bja.v10i2.17281 Bangladesh Journal of Anatomy, July 2012, Vol. 10 No. 2 pp 45-49

Cervical osteophyte resulting in compression of the jugular foramen

2014 ◽  
Vol 21 (4) ◽  
pp. 565-567 ◽  
Author(s):  
Andrew Q. Le ◽  
Brian P. Walcott ◽  
Navid Redjal ◽  
Jean-Valery Coumans
Keyword(s):  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Cranial Nerves ◽  
Ct Scanning ◽  
Joint Space ◽  
Jugular Foramen ◽  
Adequate Nutrition ◽  
Extrinsic Compression ◽  
The Right ◽  
Progressive Dysphagia

Jugular foramen syndrome is a condition characterized by unilateral paresis of cranial nerves IX, X, and XI in the setting of extrinsic compression. Here, the authors describe the case of a giant cervical osteophyte resulting in compression of the jugular foramen. A 74-year-old man who presented with progressive dysphagia and dysarthria was found to have right-sided tongue deviation, left palatal droop, and hypophonia. His dysphagia had progressed to the point that he had lost 25 kg over a 4-month period, necessitating a gastrostomy to maintain adequate nutrition. He underwent extensive workup for his dysphagia with several normal radiographic studies. Ultimately, CT scanning and postcontrast MRI revealed a posterior osteophyte arising from the C1–2 joint space and projecting into the right jugular foramen. This resulted in a jugular foramen syndrome in addition to delayed filling of the patient's right internal jugular vein distal to the osteophyte. Although rare, a posterior cervical osteophyte should be considered in cases of jugular foramen syndrome.

Microsurgical Anatomy of the Lateral Condylar Vein and Its Clinical Significance

2014 ◽  
Vol 11 (1) ◽  
pp. 135-146 ◽  
Author(s):  
Ken Matsushima ◽  
Takeshi Funaki ◽  
Noritaka Komune ◽  
Hiro Kiyosue ◽  
Masatou Kawashima ◽  
...  
Keyword(s):  
Skull Base ◽  
Clinical Significance ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Cranial Nerves ◽  
Average Diameter ◽  
Jugular Bulb ◽  
Foramen Magnum ◽  
Occipital Condyle ◽  
Microsurgical Anatomy

Abstract BACKGROUND Although the lateral condylar vein has been encountered in some skull base approaches and used as a route to access the anterior condylar venous confluence, few descriptions can be found in the literature regarding its morphology. OBJECTIVE To examine the anatomy of the lateral condylar vein and its clinical significance. METHODS The craniocervical junctions of 3 cadaveric heads, 15 dry bones, and 25 computed tomography venography images were examined. RESULTS The lateral condylar vein was identified in 88.0% of paracondylar areas, with an average diameter of 3.6 mm. This vein originated near the jugular bulb, descended along the lateral surface of the occipital condyle and medial to the internal jugular vein, cranial nerves IX to XI, and rectus capitis lateralis muscle to drain into the vertebral venous plexus surrounding the vertebral artery. The veins were classified according to their origin from either (1) the anterior condylar confluence or (2) the internal jugular vein. In some specimens, the lateral condylar vein courses within a small osseous canal lateral to the occipital condyle, the paracondylar canal, which was identified in 16.7% of paracondylar areas in the dry bones. CONCLUSION The lateral condylar vein may be encountered in exposing the jugular bulb, hypoglossal canal, or foramen magnum. This vein has been reported to be a main draining route of dural arteriovenous fistulas, in which case it can be utilized as a transvenous route for endovascular treatment, or obliterated. An understanding of the anatomy of this vein may prove useful in planning skull base and endovascular procedures.

Central Venous Catheter Placement: Where Is the Tip?

2012 ◽  
Vol 21 (5) ◽  
pp. 370-371 ◽  
Author(s):  
George M. Ibrahim
Keyword(s):  
Computed Tomography ◽  
Central Venous Catheter ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Venous Catheter ◽  
Jugular Foramen ◽  
Jugular Bulb ◽  
Central Venous Catheters ◽  
Catheter Placement ◽  
Central Venous

The insertion of central venous catheters is a common bedside procedure performed in intensive care units. Here, we present a case of an 82-year-old man who underwent insertion of a central venous catheter in the internal jugular vein without perceived complications. Postprocedural radiographs showed rostral migration of the catheter, and computed tomography performed coincidentally showed cannulation of the jugular bulb at the level of the jugular foramen. To our knowledge, this is the first report to document migration of a central venous catheter from the internal jugular vein into the dural sinuses, as confirmed by computed tomography. The case highlights the importance of acquiring postprocedural radiographs for all insertions of central venous catheters to confirm catheter placement.

Compression of the Rostral Ventrolateral Medulla by a Vagal Schwannoma of the Cerebellomedullary Cistern Presenting with Refractory Neurogenic Hypertension: Case Report

Neurosurgery ◽  
2006 ◽  
Vol 58 (6) ◽  
pp. E1212-E1212 ◽  
Author(s):  
Mahmoud H. Kamel ◽  
Nassir H. Mansour ◽  
Chris Mascott ◽  
Kristian Aquilina ◽  
Steven Young
Keyword(s):  
Blood Pressure ◽  
Case Report ◽  
Cranial Nerves ◽  
Pressure Control ◽  
Jugular Foramen ◽  
Rostral Ventrolateral Medulla ◽  
Ventrolateral Medulla ◽  
Neurovascular Compression ◽  
Neurogenic Hypertension ◽  
First Case

Abstract OBJECTIVE: The rostral ventrolateral medulla is thought to serve as a final common pathway for the integration of central cardiovascular information and to be important for the mediation of central pressor responses. An association between essential hypertension and neurovascular compression of the rostral ventrolateral medulla has been reported. This may be mediated by an increase in sympathetic tone. CLINICAL PRESENTATION: Schwannomas arising from the lower cranial nerves (Cranial Nerves IX-XI) are rare, constituting only 3% of all intracranial schwannomas unassociated with neurofibromatosis. The majority of these tumors present as jugular foramen lesions and, less commonly, they occur along the extracranial course of these nerves. An intracisternal location is extremely rare. Fewer than 15 cases of pathologically proven intracisternal vagal schwannomas in the absence of neurofibromatosis have been reported. INTERVENTION: We report a case of vagal schwannoma in the cerebellomedullary cistern causing distortion of the vagal root entry zone and presenting with refractory neurogenic hypertension. Total microsurgical excision of this tumor, arising from one of the rootlets of the vagus nerve, was achieved. Immediately postoperatively, blood pressure decreased markedly, and despite our effort to maintain the blood pressure with fluids, the patient developed a cerebral infarction in the watershed zone. CONCLUSION: We discuss the proposed mechanism of hypertension, and the perioperative management, stressing blood pressure control. A review of the literature regarding vagal schwannomas is also presented. To the best of our knowledge, this is the first case report of a cerebellomedullary cistern vagal schwannoma presenting with neurogenic hypertension.

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