TY - JOUR
T1 - Jugulotympanic paraganglioma
T2 - A rare cause of vertigo
AU - Jehangir, Asad
AU - Pathak, Ranjan
AU - Shaikh, Bilal
AU - Salman, Ahmed
AU - Fareedy, Shoaib Bilal
AU - Qureshi, Anam
AU - Jehangir, Qasim
AU - Alweis, Richard
N1 - Publisher Copyright:
© Am J Case Rep, 2015.
PY - 2015/4/18
Y1 - 2015/4/18
N2 - Objective: Rare disease Background: Jugulotympanic paraganglioma generally presents in the 5th or 6th decades of life with tinnitus and hearing loss. In this manuscript, we present a rare case of jugulotympanic paraganglioma presenting in the 9th decade with vertigo as the most bothersome symptom. Case Report: An 83-year-old woman presented with worsening episodes of dizziness of a few months duration. She also complained of tinnitus and hearing loss, more severe on the left side. Examination revealed a red bulging leftsided tympanic membrane, conductive hearing loss, and a bruit at the base of the skull. Dix-Hallpike test was negative. CT head and MRI brain revealed findings consistent with a large left-sided jugulotympanic paraganglioma, which was found to be hormonally inactive on laboratory tests. The patient underwent treatment with radiotherapy, which resulted in partial improvement of symptoms. Conclusions: Jugulotympanic paraganglioma may manifest in the elderly with the chief complaint of intermittent vertigo, as in our case. A red bulging mass on otoscopy raises the suspicion, necessitating further investigations, including CT and MRI.
AB - Objective: Rare disease Background: Jugulotympanic paraganglioma generally presents in the 5th or 6th decades of life with tinnitus and hearing loss. In this manuscript, we present a rare case of jugulotympanic paraganglioma presenting in the 9th decade with vertigo as the most bothersome symptom. Case Report: An 83-year-old woman presented with worsening episodes of dizziness of a few months duration. She also complained of tinnitus and hearing loss, more severe on the left side. Examination revealed a red bulging leftsided tympanic membrane, conductive hearing loss, and a bruit at the base of the skull. Dix-Hallpike test was negative. CT head and MRI brain revealed findings consistent with a large left-sided jugulotympanic paraganglioma, which was found to be hormonally inactive on laboratory tests. The patient underwent treatment with radiotherapy, which resulted in partial improvement of symptoms. Conclusions: Jugulotympanic paraganglioma may manifest in the elderly with the chief complaint of intermittent vertigo, as in our case. A red bulging mass on otoscopy raises the suspicion, necessitating further investigations, including CT and MRI.
KW - Glomus jugulare tumor
KW - Hearing loss conductive
KW - Radiotherapy
KW - Tinnitus
KW - Vertigo
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U2 - 10.12659/AJCR.893366
DO - 10.12659/AJCR.893366
M3 - Article
C2 - 25889842
AN - SCOPUS:84929164844
SN - 1941-5923
VL - 16
SP - 228
EP - 231
JO - American Journal of Case Reports
JF - American Journal of Case Reports
ER -