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Pulsatile tinnitus as the first manifestation of a jugular paraganglioma
1 Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, Greece.
2 Faculty of Medicine, Department of Internal Medicine, School of Health Sciences, University of Ioannina, Ioannina, Greece.
3 Faculty of Medicine, Department of Radiology, School of Health Sciences, University of Ioannina, Ioannina, Greece.
Research Article
International Journal of Science and Research Archive, 2021, 03(02), 027–030.
Article DOI: 10.30574/ijsra.2021.3.2.0130
Publication history:
Received on 08 August 2021; revised on 10 September 2021; accepted on 12 September 2021
Abstract:
We present the case of a 59 year old male patient with pulsate tinnitus, referred as the first manifestation of a jugular parganglioma. The patient examined at the outpatient ENT Department of our hospital with a left lateral cervical swelling, difficulty in swallowing and pulsatile tinnitus. Tinnitus was the first reported symptom that appeared one month before. The patient had no medical history. The clinical examination showed an asymmetric swelling of the left tonsil, a left vocal cord paralysis, a retrotympanic mass otoscopically and conductive hearing loss in the left ear. The patient underwent a head-and-neck computed tomography that raised the suspicion of a paraganglioma. The magnetic resonance imaging and the magnetic angiography with the administration of a contrast agent set the diagnosis of a jugular paraganglioma. After the tumor embolization, the patient unerwent primary resection of the tumor. This is the first case of a patient with a jugular paraganglioma and pulsatile tinnitus as the first reported symptom.
Keywords:
Jugular paraganglioma; Pulsatile tinnitus; Embolization; First manifestation; Magnetic angiography; Glomus tumor
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Copyright © 2021 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution Liscense 4.0
