Volume : VII, Issue : VIII, August - 2018
JUGULOTYMPANIC PARAGANGLIOMA WITH MULTIPLE CRANIAL NERVE PALSY : A RARE CASE REPORT
Dr. Shubham Dubey, Dr. Shishirendu Parihar, Prof. Dr. T. N. Dubey, Dr. Chandrakant Bhaskar, Dr. Laxmi Mohanani
Abstract :
Objective: rare disease
Background: Jugulotympanic paragangliomas is a rare tumor that generally presents in the 5th or 6th decades of life with pulsatile tinnitus and
heå loss. In this report, we present an unusual case of jugulotympanic paraganglioma presenting in 48 year old man with multiple cranial nerve
palsy and cerebellar ataxia.
Case Report: A 48 year old man presented with diplopia with worsening episodes of dizziness. He also complained of right sided tinnitus and
heå loss along with difficulty in degglution, dysarthia, decreased sensation from right half of face and atropy of right sided tongue muscles.
Examination reveals red bulging tympanic memane right sided along with multiple cranial nerve palsies. CT head suggestive of right sided
jugulotympanic paraganglioma which on the MRI shows multiple intracranial and extracranialexpansion with numerous vessels forming AV
malformations within the lesion, extending from CP angle down along jugular vein with epicenter in jugular foramen.
Conclusions:Jugulotympanic paragangliomas are rare tumors that usually manifest in middle age with tinnitus and heå loss. However,
clinicians should be aware of unusual presentation of this tumor if presented with multiple cranial nerve palsy and cerebellar ataxia. All the above
described clinical features should trigger further investigations with a CT scan or MRI of the ain.
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DOI : 10.36106/ijsr
Cite This Article:
Dr. Shubham Dubey, Dr. Shishirendu Parihar, Prof. Dr. T.N. Dubey, Dr. Chandrakant Bhaskar, Dr. Laxmi Mohanani, JUGULOTYMPANIC PARAGANGLIOMA WITH MULTIPLE CRANIAL NERVE PALSY : A RARE CASE REPORT, INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-7 | Issue-8 | August-2018
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Dr. Shubham Dubey, Dr. Shishirendu Parihar, Prof. Dr. T.N. Dubey, Dr. Chandrakant Bhaskar, Dr. Laxmi Mohanani, JUGULOTYMPANIC PARAGANGLIOMA WITH MULTIPLE CRANIAL NERVE PALSY : A RARE CASE REPORT, INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-7 | Issue-8 | August-2018
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