Petrous jugular malposition (diverticulum)

Pappas, Dennis G.; Hoffman, Ronald A.; Cohen, Noel L.; Holliday, Roy A.

doi:10.1177/019459989310900512

Cited by 29 publications

(36 citation statements)

References 10 publications

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“…8 Pappas et al reported a case of a young woman with a history of recurrent facial paralysis since age 16 years and episodic hemifacial spasm between episodes of paralysis. 9 Like our patient, she also suffered from frequent parietal headaches, and the facial paralysis was also limited to the lower face. The patient did not undergo surgery.…”

Section: Discussionsupporting

confidence: 52%

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High Mega Jugular Bulb Presenting with Facial Nerve Palsy and Severe Headache

Filipović¹,

Gjuric²,

Hat

et al. 2010

Skull Base

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We present a rare case of a 50-year-old female patient with symptomatic high mega jugular bulb requiring surgery. We review her medical file, preoperative and postoperative imaging, audiograms, and surgical report. High jugular bulb was diagnosed with computed tomography and magnetic resonance imaging. Symptoms of facial nerve palsy and headache were abolished after surgical procedure. Headache and facial nerve palsy can be caused by high mega jugular bulb. Surgery is indicated in such symptomatic cases and leads to relief of signs and symptoms of disease.

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Section: Discussionsupporting

confidence: 52%

“…6 So far, three patients were described in the literature who had various forms of facial nerve involvement ranging from facial twitching and recurrent facial paralysis to episodic hemifacial spasm. [7][8][9] In regard to this rare clinical entity, we add a fourth case and evaluate the presentation and management considerations.…”

mentioning

confidence: 99%

High Mega Jugular Bulb Presenting with Facial Nerve Palsy and Severe Headache

Filipović¹,

Gjuric²,

Hat

et al. 2010

Skull Base

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“…High and medial jugular bulbs can compress the facial nerve, posterior semicircular canal and internal acoustic meatus [10, 25, 28-30, 34, 37, 38]. Cases of Ménière's disease with pulsatile tinnitus have been associated with a high and medial jugular bulb [7,11,16,28]. These cases have been ascribed to pressure between the high jugular bulb and inner ear structures responsible for endolymph resorption.…”

Section: Introductionmentioning

confidence: 99%

Surgical treatment of the high jugular bulb in patients with M�ni�re's disease and pulsatile tinnitus

Couloigner

Grayeli

Bouccara

et al. 1999

European Archives of Oto-Rhino-Laryngology

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The aim of this retrospective study was to evaluate the functional results of surgical lowering of the high jugular bulb in the treatment of patients with Ménière's disease and pulsatile tinnitus. Fifteen patients with disabling Ménière's disease associated with pulsatile tinnitus and a high and medial jugular bulb were included in this study. As treatment a complete mastoidectomy was performed, after which the jugular bulb was freed by an infralabyrinthine and subfacial approach. The bulb was then displaced downwards with surgical wax. Functional results of surgery were assessed by a questionnaire according to the 1995 guidelines of the United States American Academy Committee on Hearing and Equilibrium, audiometric and vestibular tests, and by magnetic resonance and computed tomographic imaging with vascular sequences. Surgical treatment was contraindicated in two cases: one had hypoplasia of the contralateral sigmoid sinus and the other a small petrous hemangioma located around the jugular bulb that was discovered peroperatively. Among the 13 patients treated by definitive surgery, attacks of vertigo were reported as disabling in 12 cases preoperatively (92%) versus 1 (8%) after surgical treatment. No significant change in hearing was observed after surgery. Tinnitus had been reported in all patients preoperatively and decreased in intensity in four (31%) and disappeared in three (23%) after surgery.

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“…Its development occurs postnatally, presumably after children adopt an erect posture resulting in important venous circulatory shifts (1,2). As the JB develops and enlarges during childhood and adulthood, abnormalities (JBA) such as a dehiscent, high-riding JB (HRJB), or a JB diverticulum (JBD)Van abnormal projection of the JB, may develop (3).…”

mentioning

confidence: 99%