1. Neurologic manifestations of glomus tumors in the head and neck.
- Author
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Spector GJ, Druck NS, and Gado M
- Subjects
- Abducens Nerve, Adult, Brain Neoplasms diagnostic imaging, Brain Neoplasms etiology, Ear Diseases etiology, Facial Paralysis etiology, Female, Glomus Jugulare Tumor etiology, Glossopharyngeal Nerve, Horner Syndrome etiology, Humans, Hypoglossal Nerve, Labyrinth Diseases etiology, Male, Middle Aged, Neoplasm Metastasis, Radiography, Trigeminal Nerve, Glomus Tumor complications, Head and Neck Neoplasms complications, Neurologic Manifestations
- Abstract
In 75 patients with glomus tumors in the head and neck region, 57 tumors arose from the jugular bulb region, 11 from the middle ear, and seven from the vagus nerve. Thirty-seven percent (28 patients) had cranial nerve paralysis, and 14.6% (11) had intracranial tumor extension. The jugular foramen syndrome was associated with a 50% (two of four patients) incidence, and hypoglossal nerve paralysis with a 75% (three of four) incidence of posterior fossa tumor invasion. Horner syndrome and labyrinthine destruction had a 50% (two of four) incidence of a middle cranial fossa tumor invasion. The incidence of central nervous system (CNS) invasion with cranial nerve paralysis (excluding the seventh nerve) was 52% (11 of 21). Otologic findings and seventh nerve paralysis did not correlate with CNS tumor extension.
- Published
- 1976
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