Hostname: page-component-cd9895bd7-lnqnp Total loading time: 0 Render date: 2024-12-24T20:30:40.605Z Has data issue: false hasContentIssue false
  • English
  • Français

Aberrant jugular bulb vein obstructing approach to intracanalicular vestibular schwannoma

Published online by Cambridge University Press:  29 June 2007

Takeshi Tsutsumi ,
Atsunobu Tsunoda ,
Kumiko Shimamoto  and
Atsushi Komatsuzaki
Takeshi Tsutsumi*
Affiliation:
Department of Otolaryngology, Faculty of Medicine, Tokyo Medical and Dental University, Tokyo 113-8519, Japan.
Atsunobu Tsunoda
Affiliation:
Department of Otolaryngology, Faculty of Medicine, Tokyo Medical and Dental University, Tokyo 113-8519, Japan.
Kumiko Shimamoto
Affiliation:
Department of Otolaryngology, Faculty of Medicine, Tokyo Medical and Dental University, Tokyo 113-8519, Japan.
Atsushi Komatsuzaki
Affiliation:
Department of Otolaryngology, Faculty of Medicine, Tokyo Medical and Dental University, Tokyo 113-8519, Japan.
*
Address for correspondence: Dr. T. Tsutsumi, Department of Otolaryngology, Faculty of Medicine, Tokyo Medical and Dental University, Yushima 1-5-45, Bunkyo-ku, Tokyo 113-8519, Japan. Fax: 81 3-3813-2134.
Get access Rights & Permissions [Opens in a new window]

Abstract

In cases of jugular bulb anomalies, such as a high jugular bulb, troublesome bleeding may occur during surgery. We report an unusual case with a vestibular schwannoma, in which we recognized an additional branch arising from the jugular bulb. Three-dimensional computed tomography (3-D CT) revealed this anomaly beforehand, enabling us to avert excessive bleeding upon resection of the tumour. The abnormal vein was thought to be a remnant of the petrosquamosal sinus in the embryonic stage.

Keywords

Neuroma, acousticJugular veinsTomography, X-ray computed, 3-dimensional
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 112 , Issue 8 , August 1998 , pp. 772 - 774
Copyright
Copyright © JLO (1984) Limited 1998

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Graham, M. D. (1977) The jugular bulb: its anatomic and clinical considerations in contemporary otology. Laryngoscope 87: 105–125.CrossRefGoogle ScholarPubMed
Huang, Y. P., Wolf, B. S. (1974) The basal cerebral vein and its tributaries. In Radiology of the Skull and Brain. (Newton, T. H., Potts, D. G., eds.), C. V. Mosby, St. Louis, pp. 2111–2154.Google Scholar
Jahrsdoerfer, R. A., Cail, W. S., Cantrell, R. W. (1981) Endolymphatic duct obstruction from a jugular bulb diverticulum. Annals of Otology, Rhinology and Laryngology 90: 619–623.CrossRefGoogle ScholarPubMed
Kennedy, D. W., El-Sirsy, H. H., Nager, G. T. (1986) The jugular bulb in otologic surgery: Anatomic, clinical and surgical considerations. Otolaryngology-Head and Neck Surgery 94: 6–15.CrossRefGoogle ScholarPubMed
Moore, P. J. (1994) The high jugular bulb in ear surgery: three case reports and a review of the literature. Journal of Laryngology and Otology 108: 772–775.Google Scholar
Overton, S. B., Ritter, F. N. (1973) A high placed jugular bulb in the middle ear: A clinical and temporal bone study. Laryngoscope 83: 1986–1991.CrossRefGoogle ScholarPubMed
Padget, D. H. (1957) The development of the cranial venous system in man, from the viewpoint of comparative anatomy. Contributions to Embryology 36: 79–140.Google Scholar
Pappas, D. G. Jr., Hoffman, R. A., Cohen, N. L., Holliday, R. A., Pappas, D. G. Sr. (1993) Petrous jugular malposition [diverticulum]. Otolaryngology-Head and Neck Surgery 109: 847–852.CrossRefGoogle ScholarPubMed
Shotton, J. C., Ludman, H., Cox, T. C. S. (1989) Temporal bone venous anomaly of surgical significance. Journal of Laryngology and Otology 103: 101–106.CrossRefGoogle ScholarPubMed
Subotic, R. (1979) The high position of the jugular bulb. Ada Otolaryngologica 87: 340–344.CrossRefGoogle ScholarPubMed
Tsunoda, A., Yanagisawa, Y., Yamashita, K., Komatsuzaki, A. (1995) Latent high jugular bulb: case report and significance of neck compression test. ORL 57: 44–47.CrossRefGoogle ScholarPubMed
Tsunoda, A., Komatsuzaki, A., Muraoka, H. (1996) Threedimensional CT reconstruction for the middle cranial fossa approach in early acoustic neuroma surgery. In Acoustic Neuroma and Skull Base Surgery. (Sterkers, J. M., Charachon, R., Sterkers, O., eds.), Kugler Publications, Amsterdam/New York, pp. 225–226.Google Scholar