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Artículo de revisión

Glomus yugular: Revisión de la literatura y técnica quirúrgica

Zottis-Grapiglia Cassio,¹ Diaz-Castillejos Ali,¹ Rehder Roberta,1 Borba Luis AB³
1Department of Neurosurgery. Evangelic Universitary Hospital, Curitiba, Paraná, Brazil
² Brain and Heart Institute, Curitiba, Paraná, Brazil.
3 “Hospital de Clinicas”, Curitiba, Paraná, Brazil.
4 Hospital Beneficencia Portuguesa, São Paulo, Brazil.

Rev Mex Neuroci 2015; 16(1): 73-89

Abstract

Glomus jugulare tumors consist in rare, vascularized masses, belonging to the paraganglia tumors, considered a challenging pathology to treat. They are usually benign, slow-growing and locally invasive lesions. The diagnosis is performed with clinical examination and CT, MRI, and specially, arteriography. Multimodal treatment can be performed to manage these tumors. We reviewed the literature of glomus tumors including the experience of the senior author with his series. Intraoperative pictures and the correlation with cadaveric preparations were used to show important relationships between osseous, dural, vascular and neural elements. Glomus jugulare tumors involve a complex anatomical region with important relations among vessels, nerves, bones and dural structures. Anatomical knowledge is essential to achieve good surgical results. The surgical treatment is an excellent option to treat these lesions, considering the immediate cure and low morbidity range    

Keywords
Glomus jugulare, paraganglia tumors, jugular foramen, surgical treatment

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