High Mega Jugular Bulb Presenting with Facial Nerve Palsy and Severe Headache

Boris Filipović; Mislav Gjurić; Josip Hat; Ivo Glunčić

doi:10.1055/s-0030-1261259

Skull Base, Table of Contents

Skull Base 2010; 20(6): 465-468
DOI: 10.1055/s-0030-1261259

CASE REPORT

High Mega Jugular Bulb Presenting with Facial Nerve Palsy and Severe Headache

Boris Filipović¹ , Mislav Gjurić¹ , Josip Hat² , Ivo Glunčić³

¹Health center “Sinteza”, Zagreb, Croatia
²Department of Radiology, Clinical Hospital “Sestre milosrdnice,” School of Medicine, University of Zagreb, Zagreb, Croatia
³Department of Otorhinolaryngology, Clinical Hospital Center Split, School of Medicine, University of Split, Split, Croatia

Abstract

ABSTRACT

We present a rare case of a 50-year-old female patient with symptomatic high mega jugular bulb requiring surgery. We review her medical file, preoperative and postoperative imaging, audiograms, and surgical report. High jugular bulb was diagnosed with computed tomography and magnetic resonance imaging. Symptoms of facial nerve palsy and headache were abolished after surgical procedure. Headache and facial nerve palsy can be caused by high mega jugular bulb. Surgery is indicated in such symptomatic cases and leads to relief of signs and symptoms of disease.

KEYWORDS

High jugular bulb - facial nerve palsy - headache - surgery - jugular foramen

Full Text

References

REFERENCES

1 Subotić R. The high position of the jugular bulb. Acta Otolaryngol. 1979; 87 340-344
2 Swartz J D, Harnsberger H R. Imaging of the Temporal Bone. 3rd ed. New York; Thieme 1998: 193-195
3 Wadin K, Wilbrand H. The jugular bulb diverticulum. A radioanatomic investigation. Acta Radiol Diagn (Stockh). 1986; 27 395-401
4 Wadin K, Thomander L, Wilbrand H. Effects of a high jugular fossa and jugular bulb diverticulum on the inner ear. A clinical and radiologic investigation. Acta Radiol Diagn (Stockh). 1986; 27 629-636
5 Presutti L, Laudadio P. Jugular bulb diverticula. ORL J Otorhinolaryngol Relat Spec. 1991; 53 57-60
6 Sterkers O, Bozorg Grayeli A, Julien N, Bouccara D, Rihane S, Chaigne P. [Jugular bulb diverticulum mimicking Menière's disease. Surgical treatment] [in French]. Ann Otolaryngol Chir Cervicofac. 1993; 110 363-371
7 Gal M, Darrouzet V, Pescio P, Vincey P, Bébéar J P. [Jugular bulb diverticular and facial paralysis] [in French]. Rev Laryngol Otol Rhinol (Bord). 1999; 120 43-46
8 Jahrsdoerfer R A, Cail W S, Cantrell R W. Endolymphatic duct obstruction from a jugular bulb diverticulum. Ann Otol Rhinol Laryngol. 1981; 90(6 Pt 1) 619-623
9 Pappas Jr D G, Hoffman R A, Cohen N L, Holliday R A, Pappas Sr D G. Petrous jugular malposition (diverticulum). Otolaryngol Head Neck Surg. 1993; 109 847-852
10 Adelman J U. Headaches and papilledema secondary to dural arteriovenous malformation. Headache. 1998; 38 621-623

Mislav GjurićM.D. Ph.D.

Health Center “Sinteza,” Zagreb

Croatia

Email: mg@poliklinika-sinteza.hr