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词条 Jugular foramen syndrome
释义

  1. Symptoms

  2. Causes

  3. Diagnosis

  4. Treatment

  5. References

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}}Jugular foramen syndrome, or Vernet's syndrome, is characterized by the paresis of the glossopharyngeal, vagal, and accessory (with or without the hypoglossal) nerves.[1][2]

Symptoms

Symptoms of this syndrome are consequences of this paresis. As such, in an affected patient, you may find:

  • dysphonia/hoarseness
  • soft palate dropping
  • deviation of the uvula towards the normal side
  • dysphagia
  • loss of sensory function from the posterior 1/3 of the tongue
  • decrease in the parotid gland secretion
  • loss of gag reflex
  • sternocleidomastoid and trapezius muscles paresis

Causes

  • Glomus tumors (most frequently)
  • Meningiomas
  • Schwannomas (Acoustic neuroma)
  • Metastatic tumors located at the cerebellopontine angle
  • Trauma
  • Infections
  • Cholesteatoma (very rare)
  • Obstruction of the jugular foramen due to bone diseases
  • Nasopharyngeal carcinoma spreading into the parapharyngeal space involving the ninth, tenth, and eleventh cranial nerves

Diagnosis

  • Gadolinium enhanced mri for vestibular schwannoma
  • mri and biopsy for nasopharyngeal carcinoma
  • based on nerve palsies

Treatment

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References

1. ^[https://archive.today/20130104152125/http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6T5F-4DCN0HB-1&_user=2459694&_rdoc=1&_fmt=&_orig=search&_sort=d&view=c&_acct=C000057393&_version=1&_urlVersion=0&_userid=2459694&md5=a6b923ce9119939718ae678b89d6e982 Erol FS, Kaplan M, Kavakli A, Ozveren MF.Jugular foramen syndrome caused by choleastatoma. Clin Neurol Neurosurg. 2005 Jun;107(4):342-6.]
2. ^{{cite book|editor-last1=Quinones-Hinojosa|editor-first1=Alfredo|title=Schmidek and Sweet Indications, Methods and Results (Expert Consult - Online and Print)|date=2012|publisher=Elsevier Health Sciences|location=London|isbn=9781455723287|page=2337|edition=6th}}

4 : Syndromes affecting the nervous system|Glossopharyngeal nerve|Vagus nerve|Accessory nerve

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