Intradural jugular foramen tumors

Eleven patients with jugular foramen lesions with or without extradural extension were operated at University Hospital of Campinas (UNICAMP), in Campinas, Brazil, between 1998 and 2001. Neck dissection, mastoidectomy without transposition of the facial nerve and myofascial flap reconstruction of the...

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Veröffentlicht in:Arquivos de neuro-psiquiatria 2004-12, Vol.62 (4), p.997-1003
Hauptverfasser: Mattos, João Paulo, Ramina, Ricardo, Borges, Wilson, Ghizoni, Enrico, Fernandes, Yvens B, Paschoal, Jorge R, Honorato, Donizeti C, Borges, Guilherme
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container_issue 4
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container_title Arquivos de neuro-psiquiatria
container_volume 62
creator Mattos, João Paulo
Ramina, Ricardo
Borges, Wilson
Ghizoni, Enrico
Fernandes, Yvens B
Paschoal, Jorge R
Honorato, Donizeti C
Borges, Guilherme
description Eleven patients with jugular foramen lesions with or without extradural extension were operated at University Hospital of Campinas (UNICAMP), in Campinas, Brazil, between 1998 and 2001. Neck dissection, mastoidectomy without transposition of the facial nerve and myofascial flap reconstruction of the cranial base with an especially developed technique were carried out in 7 patients. Four patients were operated using retrosigmoid craniectomy. Total excision was accomplished in 9 cases. All patients did not show evidence of disease progression at least after 2 years follow-up. There was no mortality. New lower cranial nerve deficits occurred in 5 patients. Nine maintain or improved their preoperative status based on Karnofsky and Glasgow Outcome Scale. A complex anatomy of this region demand wide exposures for treat those tumors. For this reason, an adequate approach for curative resection of most lesions and an efficient skull base reconstruction decreasing postoperative morbidity are essential.
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subjects Adolescent
Adult
Cranial Nerve Neoplasms - surgery
Craniotomy
Facial Nerve - surgery
Female
Glomus Jugulare - anatomy & histology
Glomus Jugulare - surgery
Glomus Jugulare Tumor - surgery
Humans
Male
Mastoid - surgery
Middle Aged
NEUROSCIENCES
PSYCHIATRY
Temporal Bone - surgery
Treatment Outcome
title Intradural jugular foramen tumors
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