Presentation
Patients without neurofibromatosis type 2 (NF2) tend to present between the 3rd to 6th decades of life. There is a recognized female predilection 1. The tumors can have a wide variety of clinical presentations. [radiopaedia.org]
Results Unilateral hearing loss was the main presenting symptom in five patients at the time of initial diagnosis. Only two patients presented with true glossopharyngeal symptoms, such as dysphagia or reduced gag reflex. [ajnr.org]
The authors' experience in managing these rare tumors is presented. [pubmed.ncbi.nlm.nih.gov]
Clinical History A 60-year-old male presented with recently developed progressive dysphagia and episodes of choking. [eurorad.org]
Respiratoric
- Sputum
The major postoperative morbidity consisted of swallowing difficulties and sputum aspiration. [pubmed.ncbi.nlm.nih.gov]
Treatment
Laryngoscope 115:1486–1492 CrossRef PubMed Google Scholar Yoo H, Jung HW, Yang HJ (1999) Jugular foramen schwannomas: surgical approaches and outcomes of treatment. [link.springer.com]
Surgical resection is often the treatment of choice. Complications Collet-Sicard syndrome Vernet syndrome Horner syndrome For a full list of differentials see the article on jugular fossa masses. [radiopaedia.org]
Surgical treatment of dumbbell-shaped jugular foramen schwannomas. Kadri PA, Al-Mefty O. Kadri PA, et al. Neurosurg Focus. 2004 Aug 15;17(2):E9. doi: 10.3171/foc.2004.17.2.9. Neurosurg Focus. 2004. PMID: 15329024 Review. [pubmed.ncbi.nlm.nih.gov]
The primary treatment of jugular foramen schwannoma is complete surgical resection. [eurorad.org]
Surgical treatment of jugular foramen schwannomas. J Neurosurg 1995;82:924-932 Solymosi L, Wassmann H, Bonse R. Diagnosis of neurinoma in the region of the jugular foramen: a case report. Neurosurg Rev 1987;10:41-46 ↵ Suzuki F, Handa J, Todo G. [ajnr.org]
Prognosis
[…] schwannoma: T1: typically low signal T2: typically high signal cystic degeneration may be seen in larger tumors T1 C+ (Gd) smaller lesions demonstrate intense homogeneous enhancement larger lesions tend to have heterogeneous enhancement Treatment and prognosis [radiopaedia.org]