Through this skull aperture also pass the transverse sinus, the inferior petrosal sinus, and meningeal branches from both the occipital and ascending pharyngeal arteries. The neural compartment, housed between two vascular compartments, includes the glossopharyngeal, vagus, and spinal accessory nerves. Vernet first described it in the paris medical journal 1917. Jugular foramen syndrome as initial presentation of metastatic. Vernets syndrome is characterized by a constellation of unilateral cranial nerve palsies due the compression or narrowing of the jugular foramen involving the 9th, 10th, and 11th cranial nerves nerves that travel within the jugular foramen. The jugular variant of the eagle syndrome is clinically delineated by significant differences, as compared to the classic variant and carotid variants. Jugular foramen syndrome and allied syndromes neurology. Metastatic involvement of the cranial base and jugular foramen generally presents with headache and lower cranial neuropathy but may escape early diagnosis.
Passing through the jugular foramen are, from anterior to posterior, the petrosal sinus. A 73yearold male complained of leftsided mastoid pain that irradiated to the neck since the past 3 months. Jugular foramen syndrome has several etiologies, including trauma, tumor growth, and infection. Pdf jugular foramen syndrome caused by choleastatoma. The jugular foramen is a large foramen opening in the base of the skull, located behind the carotid canal. Colletsicard syndrome ix, x,xi,xii villaret syndrome ix,x,xi,xii sympathetic chain. Head and neck paragangliomas hnps are generally named after their site of origin. Plain tomograms demonstrated a metastasis at the base of the skull. Jugular foramen syndrome systemic disease doctor steve. In a more general meaning, however, any combination of palsies affecting the last four cranial.
The jugular foramen transmits the glossopharyngeal, vagus, and spinal accessory nerves. Jugular foramen syndrome, or vernets syndrome, is characterized by paresis of the glossopharyngeal, vagal, and accessory with or without the hypoglossal nerves. Jugular foramen syndrome definition of jugular foramen. It contains the lower cranial nerves and major vascular structures. Slatkin, md \sb\in a patientwith ewings tumor, bilat eral papilledema developed along with a left jugular foramen syndrome. Vernet syndrome, also known as jugular foramen syndrome, is a constellation of cranial nerve palsies due to compression from a jugular foramen lesion, such as a glomus jugulare tumor, schwannoma, or metastasis 2 clinical presentation. Tumors in this area can cause vernet syndrome jugular foramen syndrome,49 which is characterized by paralysis of cranial nerves ix, x, and xi caused by tumor. The purpose of this section is to define this syndrome and elucidate the epidemiology, pathogenesis, clinical manifestations, diagnostic workup, and general treatment options for the syndrome. In this report, a patient developed a jugular foramen syndrome as the initial presentation of metastatic lung cancer soon after being diagnosed and treated surgically for extracranial atherosclerotic internal carotid artery disease. Pdf differential diagnosis of jugular foramen lesions. Most tumoral lesions of the jugular foramen manifest at ct as areas of infiltrative bone destruction. It is formed in front by the petrous portion of the temporal bone, and behind by the occipital bone.
Pdf metastatic involvement of the cranial base and jugular foramen generally presents with headache and lower cranial neuropathy but may escape early. The eagle jugular syndrome bmc neurology full text. Presents a new contemporary internal design that helps you navigate the text easier. Papilledema in the metastatic jugular foramen syndrome. The jugular foramen is formed anteriorly by the petrous temporal bone and posteriorly by the occipital bone. Colletsicard syndrome ix,x,xi,xii villaret syndrome ix,x,xi,xii sympathetic chain.
Jugular foramen syndrome jfs is an uncommon clinical entity that often presents a diagnostic and management challenge to the otolaryngologist. Diagnostic principles in the jugular foramen syndrome. Evidence that transient cases may be of viral origin. Jugular foramen syndrome as initial presentation of. Aan members we have changed the login procedure to improve access between and the neurology journals. The jugular foramen is usually described as being divided into two parts by a fibrous or bony septum, called the jugular spine, into the pars nervosa. Headache was the more prominent symptom p pdf of this article appears above. Papilledema in the metastatic jugular foramen syndrome francesc graus, md, neal e. Jugular foramen syndrome, or vernets syndrome, is characterized by dysfunction of the ix, x, and xi cranial nerves. Vernets syndrome jugular foramen syndrome laryngeal paralysis.
Jugular foramen syndrome, or vernets syndrome, is characterized by paresis of the. Pdf jugular foramen syndrome as initial presentation of. Jugular foramen jf metastasis is rare and often presents as jf syndrome. Jugular foramen syndrome article about jugular foramen. The jugular foramen syndrome jfs specifically refers to paralysis to the ixxith cranial nerves. A digital intravenous angiogram showed an occlusion of the left transverse sinus at the level of the jugular foramen. The jugular foramen syndrome jfs or vernet syndrome refers to paralysis of the ix, x, and xi cranial nerves traversing the jugular foramen.990 526 1617 1573 1469 70 1365 727 931 1583 763 617 492 1520 913 171 525 781 100 1634 760 279 1075 523 1158 803 745 677 389 940 180 50 1353 797 596 571 1668 1392 584 791 381 194 725 1293 1251 853 159 1193