Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Synchronous Carotid Body and Glomus Jugulare Tumors : A Case Report and Review of Literature

  • Md Atikur Rahman (Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University) ;
  • Tejas Venkataram (Department of Neurosurgery, Trauma Center, Gamma Knife Center, Cannizzaro Hospital) ;
  • Riad Habib (Department of Neurosurgery, Enam Medical College) ;
  • Nwoshin Jahan (Department of Neurosurgery, Combined Military Hospital (CMH)) ;
  • Farid Raihan (Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University) ;
  • Shamsul Alam (Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University) ;
  • Ehsan Mahmood (Department of Neurosurgery, Dhaka Medical College Hospital) ;
  • Giuseppe E Umana (Department of Neurosurgery, Trauma Center, Gamma Knife Center, Cannizzaro Hospital) ;
  • Bipin Chaurasia (Department of Neurosurgery, Neurosurgery Clinic)
  • Received : 2022.12.16
  • Accepted : 2023.04.17
  • Published : 2024.01.01
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Abstract

Paragangliomas are rare neuroendocrine tumors that are usually benign in nature. They may be either familial or sporadic in their occurrence. Numerous neuroendocrine tumors are collectively included under the umbrella of paragangliomas. Among them, carotid body tumors and glomus jugulare tumors are extremely rare. Thus, we present a rare case of 29-year-old male who was admitted with hearing difficulties and tinnitus in the left ear, with swelling on the left side of the neck. Based on clinical and radiological findings, a diagnosis of left-sided glomus jugulare with carotid body tumor was made. The patient underwent a two-stage surgery with an interval of approximately 2 months. Histopathology revealed a paraganglioma. Herein, we present the clinical features, imaging findings, management, and a brief review of literature on the classification, evaluation, and management of carotid body and glomus jugulare tumors. Paraganglioma is a slow-growing tumor. The synchronous occurrence of carotid body and glomus jugulare tumors is infrequent. Microsurgical resection remains the primary treatment modality. Therefore, our patient underwent two-stage surgery. The rarity of occurrence and the proximity and adherence to vital neurovascular structures have resulted in the treatment of paragangliomas remaining a challenge.

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