Dr. Sidharth Ghosh

Glomus jugulare tumor

Glomus jugulare tumor is a small, ball-like swelling in the area of the middle ear. These tumors usually occur around age of 60. A glomus jugulare tumor grows in the bones of the skull where nerves are located. Specifically, the tumor occurs in part of the jugular vein. A person with a glomus jugulare tumor may have a feeling of a loud pulsing in the ear.Symptoms may include Weakness or loss of movement in the face (cranial nerve palsy), hoarseness, difficulty swallowing (dysphagia) hearing problems and pain.

Glomus jugulare tumors are rarely cancerous and do not tend to spread to other parts of the body. The main treatment is surgery. In some cases, a procedure called embolization is performed before surgery to shrink the tumor. Surgery is complex because of complex anatomical structures around the tumor.

Case – 1 

This 30 year old gentleman admitted with compalaints of mass in the left ear since 1 month with history of bleeding once. He also complaints of blocked sensation in the left ear and continuous pulsatile tinnitus since one month.

Diagnosis : His MRI scan revealed left glomus jugulare tumour with carotid body tumour.

Surgery : Left infratemporal fossa type A approach and total excision of the tumour and left cervical exploration carotid body tumour excision.

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Axial plane MRI showing glomus jugulare tumour.
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Coronal plane MRI showing glomus jugulare tumour.
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Pre ebmolization.
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Post ebmolization.
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Postoperative coronal plane CT scan.
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Postoperative coronal plane MRI scan.
Case – 2This 17 year old boy presented with history of insidious onset of progressive slurring of speech, swallowing disturbance and difficulty in hearing in the left ear. No history of drooling of saliva, facial numbness, loss of consciousness, vomiting, seizures or difficulty in walking. History of headache on and off on exposure to sunlight.

He was diagnosed as Left glomus jugulare paraganglioma.

Surgery: Infratemporal fossa type A approach and total excision of the tumor.

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Axial plane MRI showing glomus jugulare tumour.
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Coronal plane MRI showing glomus jugulare tumour.
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Postoperative CT scan.
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Postoperative CT scan – bone window.