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Steiner MA, Khan M, May BB, et al. Giant recurrent glomus jugulotympanicum with intracranial, extracranial, and nasophayngeal extension: The imaging role in clinical management. Radiol Case Rep. 2015;4(4):314doi: 10.2484/rcr.v4i4.314.
Steiner, M. A., Khan, M., May, B. B., Schlakman, B., & Vijayakumar, V. (2009). Giant recurrent glomus jugulotympanicum with intracranial, extracranial, and nasophayngeal extension: The imaging role in clinical management. Radiology case reports, 4(4), 314. https://doi.org/10.2484/rcr.v4i4.314
Steiner, Michael A, et al. "Giant recurrent glomus jugulotympanicum with intracranial, extracranial, and nasophayngeal extension: The imaging role in clinical management." Radiology case reports vol. 4,4 (2009): 314. doi: https://doi.org/10.2484/rcr.v4i4.314
Steiner MA, Khan M, May BB, Schlakman B, Vijayakumar V. Giant recurrent glomus jugulotympanicum with intracranial, extracranial, and nasophayngeal extension: The imaging role in clinical management. Radiol Case Rep. 2015 Nov 06;4(4):314. doi: 10.2484/rcr.v4i4.314. eCollection 2009. PMID: 27307834; PMCID: PMC4898170.
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Radiol Case Rep. 2015 Nov 06;4(4):314. doi: 10.2484/rcr.v4i4.314. eCollection 2009.

Giant recurrent glomus jugulotympanicum with intracranial, extracranial, and nasophayngeal extension: The imaging role in clinical management.

Radiology case reports

Michael A Steiner, Majid Khan, Byron B May, Bruce Schlakman, Vani Vijayakumar

PMID: 27307834 PMCID: PMC4898170 DOI: 10.2484/rcr.v4i4.314

Abstract

We present a 50-year-old male with a massive glomus jugulotympanicum that demonstrated extracranial extension breaking through the skin in the posterior auricular region, intracranial extension into the middle cranial fossa, and nasopharyngeal extension involving the entire length of the eustachian tube. Characteristic CT, MR, angiographic, and pathologic findings are demonstrated in this case. The difficult decision regarding treatment options must be made with careful consideration of the associated morbidities of slow tumor growth and recurrence with conservative management versus the surgical morbidities of aggressive surgical resection. Imaging is arguably the most important component of this decision-making process, with the radiologist contributing significantly to multiple aspects of the management of glomus tumors.

Keywords: CT, computed tomography; EAC, external auditory canal; IAC, internal auditory canal; MRI, magnetic resonance imaging

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