Go Back ENT/21. Temporal bone, Ear/Neoplasm, Neoplasm-like condition/21.3 - Jugular bulb paraganglioma II/ Go to Index

Glomus Jugulare

Differential Diagnosis:

Glomus Jugulare

Nerve Sheath Tumor

Metastasis

Neurofibroma

Meningioma

Originate from paraganglionic cells in numerous locations: carotid sheath, jugular bulb, middle ear

Multiple tumors in approximately 3% of spontaneous cases and 25% of familial cases

Most cases histologically benign but locally invasive.

More common in females (3:1)

Flow voids useful feature in distinguishing between other masses

“Salt & Pepper” appearance

Not always present

Intense contrast enhancement

Lateral growth

Otologic symptoms: pulsatile tinnitus, conductive hearing loss

Medial growth

Glossopharyngeal, vagus, and spinal accessory deficits