Jugular Foramen Meningioma

Jugular Foramen Meningioma Otology & Neurotology 39:e222–e223  2018, Otology & Neurotology, Inc. Imaging Case of the Month Anthony M. Tolisano, yKevin Lin, and Brandon Isaacson Department of Otolaryngology—Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas; and yThe University of Texas Medical Branch School of Medicine, Galveston, Texas CASE PRESENTATION Imaging findings in this case support a diagnosis of jugular foramen meningioma. This is supported by the A 67-year-old woman with a history of hyperlipidemia presence of dural tails, homogenous postcontrast enhance- and depression presented with acute onset vertigo, imbal- ment, and the absence of flow voids on gadolinium- ance, and right pulsatile tinnitus. On physical examination, enhanced T1-weighted MRI. Although meningiomas she was noted to have a wide-based gait that veered to the may demonstrate variable T1- and T2-weighted signal left during walking. Computed tomography (CT) and mag- intensity on MRI, they are most often isointense to gray netic resonance imaging (MRI) of the brain revealed no matter on T2-weighted MRI (3). Interestingly, T1 and T2 evidence of a stroke, but a right-sided jugular foramen mass signal intensity has been shown to vary according to the was identified (Fig. 1). Serum metanephrines and norme- histologic subtype of meningioma http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Otology & Neurotology Wolters Kluwer Health

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Publisher
Wolters Kluwer
Copyright
© 2018, Otology & Neurotology, Inc.
ISSN
1531-7129
eISSN
1537-4505
D.O.I.
10.1097/MAO.0000000000001709
Publisher site
See Article on Publisher Site

Abstract

Otology & Neurotology 39:e222–e223  2018, Otology & Neurotology, Inc. Imaging Case of the Month Anthony M. Tolisano, yKevin Lin, and Brandon Isaacson Department of Otolaryngology—Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas; and yThe University of Texas Medical Branch School of Medicine, Galveston, Texas CASE PRESENTATION Imaging findings in this case support a diagnosis of jugular foramen meningioma. This is supported by the A 67-year-old woman with a history of hyperlipidemia presence of dural tails, homogenous postcontrast enhance- and depression presented with acute onset vertigo, imbal- ment, and the absence of flow voids on gadolinium- ance, and right pulsatile tinnitus. On physical examination, enhanced T1-weighted MRI. Although meningiomas she was noted to have a wide-based gait that veered to the may demonstrate variable T1- and T2-weighted signal left during walking. Computed tomography (CT) and mag- intensity on MRI, they are most often isointense to gray netic resonance imaging (MRI) of the brain revealed no matter on T2-weighted MRI (3). Interestingly, T1 and T2 evidence of a stroke, but a right-sided jugular foramen mass signal intensity has been shown to vary according to the was identified (Fig. 1). Serum metanephrines and norme- histologic subtype of meningioma

Journal

Otology & NeurotologyWolters Kluwer Health

Published: Mar 1, 2018

References

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