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Jugular foramen syndrome (vernet syndrome) 6


Jugular Foramen Syndrome (Vernet Syndrome) 6

General: Injuries, aneurysms, and tumors (more commonly due to metastatic lesion than primary neoplasms) affecting the foramen jugulare are the p 818j99i rimary causes for the syndrome to develop; if sympathetic fibers surrounding the carotid artery are involved, this will produce Homer triad; note similarity of clinical findings of Villaret syndrome or 'retroparotid space syndrome,' which may include epiphora and lagophthalmos and in which cranial nerves IX to XII and the cervical sympathetics are involved.

Ocular: Enophthalmos; ptosis; miosis.

Clinical: Paralysis of the ninth, tenth, and eleventh cranial nerves with resulting impairment of related function, that is, dysphagia, loss of taste on the posterior third of the tongue, and nasal regurgitation; anhidrosis; paralysis of the sternocleidomastoid muscle and part of the trapezium (upper portion); hoarseness; tachycardia; dysarthria; weight loss.

Call WH, Pulec JL. Neurilemoma of the jugular foramen. Transmastoid-removal. Ann Otol Rhinol Laryngol 1978; 87[3 Part 1]:313-317.

George B, Lot G, Tran Ba Huy P. The juxtacondylar approach to the jugular foramen (without petrous bone drilling). Surg Neurol 1995; 44:279-284.

Hanson MR, Sweeney PJ. Disturbances of lower cranial nerves. In: Bradley WG, et al., eds. Neurology in Clinical Practice, 2nd ed. Boston: Butterworth-Heinemann, 1995:261-262.

Kamitani H, Masuzawa H, Kanazawa I, et al. A combined extradural-posterior petrous and suboccipital approach to the jugular foramen tumors. Acta Neurochir (Wien) 1994; 126: 179-l84.

Robbins KT, Fenton RS. Jugular foramen syndrome. J Otolaryngol 1980; 9:505-516.

Miller NR. Walsh and Hoyts Clinical Neuro-Ophthalmology, 4th ed. Baltimore: Williams & Wilkins, 1987.

Sawada H, et al. Accessory nerve neuroma presenting as recurrent Jugular foramen syndrome. Neuroradiology 1992; 34:417-419.

Schweinfurth JM, et al. Jugular foramen syndrome as a complication of metastatic melanoma. Am J Otolaryngol 1993; 14:168-l74.

Seyfried DM, Rock JP. The transcondylar approach to the jugular foramen: a ative anatomic study. Surg Neurol 1994; 42:265-271.

Vernet M. Les Paraliesies Laryngees Associees. Thesis, Lyon, 1916:233.




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