Introduction: Glomus jugulare are rare vascular tumors arising from the jugular bulb with intra-
and extra-cranial extensions. Although considered benign, these tumors are locally
invasive with involvement of critical neurovascular structures causing significant
morbidity. Due to their highly vascular nature, they pose a challenge for surgeons.
Settings and Design: This is a retrospective analysis of a short series of glomus jugulare managed in
a tertiary state-run referral center. Subjects and Methods: Three patients (two females, one male) of ages ranging from 32 to 55 years were evaluated
for glomus jugulare and surgically managed. In the first case, total petrosectomy
after transposing the facial nerve, cerebellopontine angle exploration, neck dissection
and infratemporal fossa approach including removal of the internal jugular vein were
done. Case 2 and Case 3 were managed with subtotal resection. Radiotherapy (RT) for
residual tumor was given in Case 2. Results: Case 1 had secondary hemorrhage on 8th postoperative day to which she succumbed on postoperative day 18. Case 2 and Case
3 have been comfortable with no fresh deficits after 36- and 6-month follow-up, respectively.
Apart from this, the authors also enumerate the various “lessons” learnt from this
series. Conclusion: Planned subtotal resection followed by RT or stereotactic radiosurgery for the residual
tumor yields a better outcome with lower morbidity and mortality.
Key-words:
Glomus jugulare - planned subtotal resection - radiosurgery
