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High Jugular Bulb
Karen L. Salzman, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Abbreviations

              • High jugular bulb (JB)
            • Synonyms

              • High-riding jugular bulb
            • Definitions

              • Superior aspect of JB extends above floor of IAC with no connection to middle ear
                • If dehiscent JB into middle ear, use "dehiscent JB" not "high JB" to describe

            IMAGING

            • General Features

              • Imaging Recommendations

                • CT Findings

                  • MR Findings

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        CLINICAL ISSUES

                        • Presentation

                          • Demographics

                            • Natural History & Prognosis

                              • Treatment

                                DIAGNOSTIC CHECKLIST

                                • Consider

                                  • Image Interpretation Pearls

                                    Selected References

                                    1. Kizildag B et al: The relationship between tinnitus and vascular anomalies on temporal bone CT scan: a retrospective case control study. Surg Radiol Anat. ePub, 2016
                                    2. Singla A et al: High jugular bulb: different osseous landmarks and their clinical implications. Surg Radiol Anat. ePub, 2016
                                    3. Brook CD et al: The Prevalence of High-Riding Jugular Bulb in Patients with Suspected Endolymphatic Hydrops. J Neurol Surg B Skull Base. 76(6):471-4, 2015
                                    4. Park JJ et al: Jugular bulb abnormalities in patients with Meniere's disease using high-resolution computed tomography. Eur Arch Otorhinolaryngol. 272(8):1879-84, 2015
                                    5. Park JJ et al: The relationship between jugular bulb position and jugular bulb related inner ear dehiscence: a retrospective analysis. Am J Otolaryngol. 36(3):347-51, 2015
                                    6. Redfern RE et al: High jugular bulb in a cohort of patients with definite Ménière's disease. J Laryngol Otol. 128(9):759-64, 2014
                                    7. Ball M et al: Beware the silent presentation of a high and dehiscent jugular bulb in the external ear canal. J Laryngol Otol. 124(7):790-2, 2010
                                    8. Friedmann DR et al: Clinical spectrum of patients with erosion of the inner ear by jugular bulb abnormalities. Laryngoscope. 120(2):365-72, 2010
                                    9. Vachata P et al: An anatomical and radiological study of the high jugular bulb on high-resolution CT scans and alcohol-fixed skulls of adults. J Clin Neurosci. 17(4):473-8, 2010
                                    10. Wang CH et al: High Computed Tomographic Correlations between Carotid Canal Dehiscence and High Jugular Bulb in the Middle Ear. Audiol Neurootol. 16(2):106-112, 2010
                                    11. Muluk NB: The SF-36 Health Survey in tinnitus patients with a high jugular bulb. J Otolaryngol Head Neck Surg. 38(2):166-71, 2009
                                    12. Nakagawa M et al: A convenient sonographic technique for diagnosis of pulsatile tinnitus induced by a high jugular bulb. J Ultrasound Med. 27(1):139-40, 2008
                                    13. Oztürkcan S et al: Surgical treatment of the high jugular bulb by compressing sinus sigmoideus: two cases. Eur Arch Otorhinolaryngol. 265(8):987-91, 2008
                                    14. Yoon BN et al: Management of high jugular bulb with tinnitus: transvenous stent-assisted coil embolization. Otolaryngol Head Neck Surg. 139(5):740-1, 2008
                                    15. Roche PH et al: High jugular bulb in the translabyrinthine approach to the cerebellopontine angle: anatomical considerations and surgical management. Acta Neurochir (Wien). 148(4):415-20, 2006
                                    16. Hourani R et al: Dehiscence of the jugular bulb and vestibular aqueduct: findings on 200 consecutive temporal bone computed tomography scans. J Comput Assist Tomogr. 29(5):657-62, 2005
                                    17. Muluk NB et al: Relationship between tinnitus loudness level and internal jugular venous flow rate measured by coloured Doppler ultrasonography in patients with a high jugular bulb. J Otolaryngol. 34(2):140-6, 2005
                                    18. Kondoh K et al: Management of hemorrhagic high jugular bulb with adhesive otitis media in an only hearing ear: transcatheter endovascular embolization using detachable coils. Ann Otol Rhinol Laryngol. 113(12):975-9, 2004
                                    19. Moffat DA et al: Management of the high jugular bulb in translabyrinthine surgery. Laryngoscope. 113(3):580-2, 2003
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Terminology

                                      • Imaging

                                        • Top Differential Diagnoses

                                          • Pathology

                                            • Clinical Issues

                                              TERMINOLOGY

                                              • Abbreviations

                                                • High jugular bulb (JB)
                                              • Synonyms

                                                • High-riding jugular bulb
                                              • Definitions

                                                • Superior aspect of JB extends above floor of IAC with no connection to middle ear
                                                  • If dehiscent JB into middle ear, use "dehiscent JB" not "high JB" to describe

                                              IMAGING

                                              • General Features

                                                • Imaging Recommendations

                                                  • CT Findings

                                                    • MR Findings

                                                      DIFFERENTIAL DIAGNOSIS

                                                        PATHOLOGY

                                                        • General Features

                                                          CLINICAL ISSUES

                                                          • Presentation

                                                            • Demographics

                                                              • Natural History & Prognosis

                                                                • Treatment

                                                                  DIAGNOSTIC CHECKLIST

                                                                  • Consider

                                                                    • Image Interpretation Pearls

                                                                      Selected References

                                                                      1. Kizildag B et al: The relationship between tinnitus and vascular anomalies on temporal bone CT scan: a retrospective case control study. Surg Radiol Anat. ePub, 2016
                                                                      2. Singla A et al: High jugular bulb: different osseous landmarks and their clinical implications. Surg Radiol Anat. ePub, 2016
                                                                      3. Brook CD et al: The Prevalence of High-Riding Jugular Bulb in Patients with Suspected Endolymphatic Hydrops. J Neurol Surg B Skull Base. 76(6):471-4, 2015
                                                                      4. Park JJ et al: Jugular bulb abnormalities in patients with Meniere's disease using high-resolution computed tomography. Eur Arch Otorhinolaryngol. 272(8):1879-84, 2015
                                                                      5. Park JJ et al: The relationship between jugular bulb position and jugular bulb related inner ear dehiscence: a retrospective analysis. Am J Otolaryngol. 36(3):347-51, 2015
                                                                      6. Redfern RE et al: High jugular bulb in a cohort of patients with definite Ménière's disease. J Laryngol Otol. 128(9):759-64, 2014
                                                                      7. Ball M et al: Beware the silent presentation of a high and dehiscent jugular bulb in the external ear canal. J Laryngol Otol. 124(7):790-2, 2010
                                                                      8. Friedmann DR et al: Clinical spectrum of patients with erosion of the inner ear by jugular bulb abnormalities. Laryngoscope. 120(2):365-72, 2010
                                                                      9. Vachata P et al: An anatomical and radiological study of the high jugular bulb on high-resolution CT scans and alcohol-fixed skulls of adults. J Clin Neurosci. 17(4):473-8, 2010
                                                                      10. Wang CH et al: High Computed Tomographic Correlations between Carotid Canal Dehiscence and High Jugular Bulb in the Middle Ear. Audiol Neurootol. 16(2):106-112, 2010
                                                                      11. Muluk NB: The SF-36 Health Survey in tinnitus patients with a high jugular bulb. J Otolaryngol Head Neck Surg. 38(2):166-71, 2009
                                                                      12. Nakagawa M et al: A convenient sonographic technique for diagnosis of pulsatile tinnitus induced by a high jugular bulb. J Ultrasound Med. 27(1):139-40, 2008
                                                                      13. Oztürkcan S et al: Surgical treatment of the high jugular bulb by compressing sinus sigmoideus: two cases. Eur Arch Otorhinolaryngol. 265(8):987-91, 2008
                                                                      14. Yoon BN et al: Management of high jugular bulb with tinnitus: transvenous stent-assisted coil embolization. Otolaryngol Head Neck Surg. 139(5):740-1, 2008
                                                                      15. Roche PH et al: High jugular bulb in the translabyrinthine approach to the cerebellopontine angle: anatomical considerations and surgical management. Acta Neurochir (Wien). 148(4):415-20, 2006
                                                                      16. Hourani R et al: Dehiscence of the jugular bulb and vestibular aqueduct: findings on 200 consecutive temporal bone computed tomography scans. J Comput Assist Tomogr. 29(5):657-62, 2005
                                                                      17. Muluk NB et al: Relationship between tinnitus loudness level and internal jugular venous flow rate measured by coloured Doppler ultrasonography in patients with a high jugular bulb. J Otolaryngol. 34(2):140-6, 2005
                                                                      18. Kondoh K et al: Management of hemorrhagic high jugular bulb with adhesive otitis media in an only hearing ear: transcatheter endovascular embolization using detachable coils. Ann Otol Rhinol Laryngol. 113(12):975-9, 2004
                                                                      19. Moffat DA et al: Management of the high jugular bulb in translabyrinthine surgery. Laryngoscope. 113(3):580-2, 2003