DINESH RAM R,SHYAM SUDHAKAR,SAKTHIMURUGAN SANKAR,AGASTHIARAM S,DR.R. SENTHILNATHAN
DOI: https://doi.org/Glomus jugulare tumors are a rare subset of benign, slow-growing neoplasms originating from neuroectodermal tissues, particularly around the jugular bulb, and can affect the lower cranial nerves . These tumors primarily affect adults and the elderly, with a left-sided preponderance and a greater prevalence in women, despite a yearly incidence of about one case per 1.3 million persons. Tinnitus, hearing loss, and cranial nerve impairments are common symptoms .In this uncommon case, a 62-year-old woman with a glomus jugulare paraganglioma affecting the vagus and hypoglossal cranial nerves presents with recent dysphagia and vocal abnormalities, as well as a four-year history of hearing loss and pulsatile tinnitus. Diagnostic imaging showed a lobulated, enhancing lesion that was compatible with a glomus jugulare paraganglioma. The lesion had a distinctive "salt and pepper" look on MRI. The patient chose to receive radiotherapy instead of surgical resection, which resulted in the tumor being successfully managed .This case shows the ongoing discussion about the best ways to treat glomus jugulare tumors and emphasizes the significance of early diagnosis by efficient imaging. Surgery is still the mainstay of treatment, especially for younger patients, but radiotherapy—including stereotactic radiosurgery—offers a good substitute with better results and lower morbidity. Individualized treatment plans based on patient choices, tumor characteristics, and possible dangers are supported by this instance.
