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Skull base surgery. 1991 January; 1(1): 34–38.
PMCID: PMC1656312

Jugular Foramen Schwannomas

Diagnosis and Suggestions for Surgical Management


Schwannomas arising in the parapharyngeal space are rare lesions; however, those originating in the jugular foramen are even less common. Two cases, each with marked intra- and extracranial extensions, are discussed. Clinical presentation and preoperative evaluation emphasizing computerized tomographic and magnetic resonance imaging will be presented. An aggressive two-stage surgical approach consisting of a retrosigmoid craniectomy combined with infratemporal removal is advocated for those lesions arising within the jugular foramen.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Mikaelian DO, Holmes WF, Simonian SK. Parapharyngeal schwannomas. Otolaryngol Head Neck Surg. 1981 Jan-Feb;89(1):77–81. [PubMed]
  • Maniglia AJ, Chandler JR, Goodwin WJ, Jr, Parker JC., Jr Schwannomas of the parapharyngeal space and jugular foramen. Laryngoscope. 1979 Sep;89(9 Pt 1):1405–1414. [PubMed]
  • Arenberg IK, McCreary HS. Neurilemmoma of the jugular foramen. Laryngoscope. 1971 Apr;81(4):544–557. [PubMed]
  • Gacek RR. Schwannoma of the jugular foramen. Ann Otol Rhinol Laryngol. 1976 Mar-Apr;85(2 PT1):215–224. [PubMed]
  • Franklin DJ, Moore GF, Fisch U. Jugular foramen peripheral nerve sheath tumors. Laryngoscope. 1989 Oct;99(10 Pt 1):1081–1087. [PubMed]
  • Kemink JL, LaRouere MJ, Kileny PR, Telian SA, Hoff JT. Hearing preservation following suboccipital removal of acoustic neuromas. Laryngoscope. 1990 Jun;100(6):597–602. [PubMed]

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