ISSN 1308-7649 | E-ISSN 2148-3817
Case Report
Jugular Foramen Metastasis from Lung Cancer: A Case of “A Mass without His Syndrome”
1 Department of Medicine and Surgery, Unit of Otolaryngology and Otoneurosurgery, University-Hospital of Parma, Parma, Italy  
2 Department of Medicine and Surgery, Unit of Neuroradiology, University-Hospital of Parma, Parma, Italy  
J Int Adv Otol ; : -
DOI: 10.5152/iao.2019.6540
Key Words: Jugular foramen, metastasis, paragangliomas, facial nerve palsy, lung cancer, misdiagnosis
Abstract

Jugular foramen (JF) metastasis is rare and often presents as JF syndrome. A 73-year-old male complained of left-sided mastoid pain that irradiated to the neck since the past 3 months. Onset of facial nerve (FN) palsy and persistence of the symptomatology despite corticosteroid therapy demanded radiologic evaluation. Computed tomography and magnetic resonance imaging showed a wide osteolytic lesion of the left JF with involvement of the third segment of the FN. The patient underwent transmastoid incisional biopsy. Histopathological examination showed an adenocarcinoma that was suggested to be of respiratory origin. A primary pulmonary lesion and metastasis to other sits were detected. The patient died 1 month after the initiation of the chemotherapy. Persistent mastoid pain and progressive FN palsy must be considered indicative of JF malignant lesions. Despite early diagnosis, secondary lesions of the JF are characterized by a poor prognosis; however, accurate diagnosis may avoid unnecessary aggressive surgery.

 

Cite this article as: Ciavarro G, Bozzetti F, Falcioni M. Jugular Foramen Metastasis from Lung Cancer: A Case of “A Mass without His Syndrome”. J Int Adv Otol 2019; 10.5152/iao.2019.6540.

Key Words
Authors
All
Author's Corner
Reviewer's Corner
Survey
AVES | Copyright © 2019 The European Academy of Otology and Neurotology | Latest Update: 15.08.2019