Congenital vascular anomaly of jugular bulb (JB) with focal, finger-like projection extending from JB into surrounding skull base
IMAGING
General Features
CT Findings
MR Findings
Angiographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Hwa TP et al: Jugular bulb anomalies involving the internal auditory canal: a case series. Ann Otol Rhinol Laryngol. 130(8):970-5, 2021
Sarioglu FC et al: Variations of the vascular canals in the cochlear implant candidates. Int J Pediatr Otorhinolaryngol. 123:123-7, 2019
Sarioglu FC et al: Variations of the vascular canals in the cochlear implant candidates. Int J Pediatr Otorhinolaryngol. 123:123-7, 2019
Yang IH et al: Endovascular treatment of debilitating tinnitus secondary to cerebral venous sinus abnormalities: a literature review and technical illustration. J Neurointerv Surg. 11(8):841-6, 2019
Yang IH et al: Endovascular treatment of debilitating tinnitus secondary to cerebral venous sinus abnormalities: a literature review and technical illustration. J Neurointerv Surg. 11(8):841-6, 2019
Manjila S et al: Jugular bulb and skull base pathologies: proposal for a novel classification system for jugular bulb positions and microsurgical implications. Neurosurg Focus. 45(1):E5, 2018
Manjila S et al: Jugular bulb and skull base pathologies: proposal for a novel classification system for jugular bulb positions and microsurgical implications. Neurosurg Focus. 45(1):E5, 2018
Mortimer AM et al: Endovascular treatment of jugular bulb diverticula causing debilitating pulsatile tinnitus. BMJ Case Rep, 2015
Mortimer AM et al: Endovascular treatment of jugular bulb diverticula causing debilitating pulsatile tinnitus. BMJ Case Rep, 2015
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
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
Trivelato FP et al: Endovascular treatment of pulsatile tinnitus associated with transverse sigmoid sinus aneurysms and jugular bulb anomalies. Interv Neuroradiol. 21(4):548-51, 2015
Trivelato FP et al: Endovascular treatment of pulsatile tinnitus associated with transverse sigmoid sinus aneurysms and jugular bulb anomalies. Interv Neuroradiol. 21(4):548-51, 2015
Lim HW et al: Surgical treatment of posterior semicircular canal dehiscence syndrome caused by jugular diverticulum. J Laryngol Otol. 126(9):928-31, 2012
Lim HW et al: Surgical treatment of posterior semicircular canal dehiscence syndrome caused by jugular diverticulum. J Laryngol Otol. 126(9):928-31, 2012
Friedmann DR et al: Clinical spectrum of patients with erosion of the inner ear by jugular bulb abnormalities. Laryngoscope. 120(2):365-72, 2010
Friedmann DR et al: Clinical spectrum of patients with erosion of the inner ear by jugular bulb abnormalities. Laryngoscope. 120(2):365-72, 2010
Raghuram K et al: Condylar jugular diverticulum. J Comput Assist Tomogr. 33(2):309-11, 2009
Raghuram K et al: Condylar jugular diverticulum. J Comput Assist Tomogr. 33(2):309-11, 2009
Fujimoto C et al: Large jugular bulb diverticulum invading the internal auditory canal. Ann Otol Rhinol Laryngol. 116(8):631-6, 2007
Fujimoto C et al: Large jugular bulb diverticulum invading the internal auditory canal. Ann Otol Rhinol Laryngol. 116(8):631-6, 2007
Gilbert ME et al: Meningioma of the jugular foramen: glomus jugulare mimic and surgical challenge. Laryngoscope. 114(1):25-32, 2004
Gilbert ME et al: Meningioma of the jugular foramen: glomus jugulare mimic and surgical challenge. Laryngoscope. 114(1):25-32, 2004
Bilgen C et al: Jugular bulb diverticula: clinical and radiologic aspects. Otolaryngol Head Neck Surg. 128(3):382-6, 2003
Bilgen C et al: Jugular bulb diverticula: clinical and radiologic aspects. Otolaryngol Head Neck Surg. 128(3):382-6, 2003
Schmerber S et al: Endolymphatic duct obstruction related to a jugular bulb diverticulum: high resolution CT and MR imaging findings. Clin Radiol. 57(5):424-8, 2002
Schmerber S et al: Endolymphatic duct obstruction related to a jugular bulb diverticulum: high resolution CT and MR imaging findings. Clin Radiol. 57(5):424-8, 2002
Eldevik OP et al: Imaging findings in schwannomas of the jugular foramen. AJNR Am J Neuroradiol. 21(6):1139-44, 2000
Eldevik OP et al: Imaging findings in schwannomas of the jugular foramen. AJNR Am J Neuroradiol. 21(6):1139-44, 2000
Kobanawa S et al: Jugular bulb diverticulum associated with lower cranial nerve palsy and multiple aneurysms. Surg Neurol. 53(6):559-62, 2000
Kobanawa S et al: Jugular bulb diverticulum associated with lower cranial nerve palsy and multiple aneurysms. Surg Neurol. 53(6):559-62, 2000
Kubo T et al: Evaluation of radiological examination for sensorineural hearing loss. Acta Otolaryngol Suppl. 542:34-8, 2000
Kubo T et al: Evaluation of radiological examination for sensorineural hearing loss. Acta Otolaryngol Suppl. 542:34-8, 2000
Weissman JL et al: Imaging of tinnitus: a review. Radiology. 216(2):342-9, 2000
Weissman JL et al: Imaging of tinnitus: a review. Radiology. 216(2):342-9, 2000
Chong VF et al: Radiology of the jugular foramen. Clin Radiol. 53(6):405-16, 1998
Chong VF et al: Radiology of the jugular foramen. Clin Radiol. 53(6):405-16, 1998
Tekdemir I et al: The jugular foramen: a comparative radioanatomic study. Surg Neurol. 50(6):557-62, 1998
Tekdemir I et al: The jugular foramen: a comparative radioanatomic study. Surg Neurol. 50(6):557-62, 1998
Caldemeyer KS et al: The jugular foramen: a review of anatomy, masses, and imaging characteristics. Radiographics. 17(5):1123-39, 1997
Caldemeyer KS et al: The jugular foramen: a review of anatomy, masses, and imaging characteristics. Radiographics. 17(5):1123-39, 1997
Atilla S et al: Computed tomographic evaluation of surgically significant vascular variations related with the temporal bone. Eur J Radiol. 20(1):52-6, 1995
Atilla S et al: Computed tomographic evaluation of surgically significant vascular variations related with the temporal bone. Eur J Radiol. 20(1):52-6, 1995
Dietz RR et al: MR imaging and MR angiography in the evaluation of pulsatile tinnitus. AJNR Am J Neuroradiol. 15(5):879-89, 1994
Dietz RR et al: MR imaging and MR angiography in the evaluation of pulsatile tinnitus. AJNR Am J Neuroradiol. 15(5):879-89, 1994
Weber AL et al: Radiologic evaluation of the jugular foramen. Anatomy, vascular variants, anomalies, and tumors. Neuroimaging Clin N Am. 4(3):579-98, 1994
Weber AL et al: Radiologic evaluation of the jugular foramen. Anatomy, vascular variants, anomalies, and tumors. Neuroimaging Clin N Am. 4(3):579-98, 1994
Pappas DG Jr et al: Petrous jugular malposition (diverticulum). Otolaryngol Head Neck Surg. 109(5):847-52, 1993
Pappas DG Jr et al: Petrous jugular malposition (diverticulum). Otolaryngol Head Neck Surg. 109(5):847-52, 1993
Daniels DL et al: Jugular foramen: anatomic and computed tomographic study. AJR Am J Roentgenol. 142(1):153-8, 1984
Daniels DL et al: Jugular foramen: anatomic and computed tomographic study. AJR Am J Roentgenol. 142(1):153-8, 1984
Lo WW et al: High-resolution CT of the jugular foramen: anatomy and vascular variants and anomalies. Radiology. 150(3):743-7, 1984
Lo WW et al: High-resolution CT of the jugular foramen: anatomy and vascular variants and anomalies. Radiology. 150(3):743-7, 1984
Jahrsdoerfer RA et al: Endolymphatic duct obstruction from a jugular bulb diverticulum. Ann Otol Rhinol Laryngol. 90(6 Pt 1):619-23, 1981
Jahrsdoerfer RA et al: Endolymphatic duct obstruction from a jugular bulb diverticulum. Ann Otol Rhinol Laryngol. 90(6 Pt 1):619-23, 1981
Stern J et al: Jugular bulb diverticula in medial petrous bone. AJR Am J Roentgenol. 134(5):959-61, 1980
Stern J et al: Jugular bulb diverticula in medial petrous bone. AJR Am J Roentgenol. 134(5):959-61, 1980
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References
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KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
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Diagnostic Checklist
TERMINOLOGY
Abbreviations
Jugular bulb diverticulum (JBD)
Synonyms
Jugular diverticulum, petrous jugular malposition
Definitions
Congenital vascular anomaly of jugular bulb (JB) with focal, finger-like projection extending from JB into surrounding skull base
IMAGING
General Features
CT Findings
MR Findings
Angiographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Hwa TP et al: Jugular bulb anomalies involving the internal auditory canal: a case series. Ann Otol Rhinol Laryngol. 130(8):970-5, 2021
Sarioglu FC et al: Variations of the vascular canals in the cochlear implant candidates. Int J Pediatr Otorhinolaryngol. 123:123-7, 2019
Sarioglu FC et al: Variations of the vascular canals in the cochlear implant candidates. Int J Pediatr Otorhinolaryngol. 123:123-7, 2019
Yang IH et al: Endovascular treatment of debilitating tinnitus secondary to cerebral venous sinus abnormalities: a literature review and technical illustration. J Neurointerv Surg. 11(8):841-6, 2019
Yang IH et al: Endovascular treatment of debilitating tinnitus secondary to cerebral venous sinus abnormalities: a literature review and technical illustration. J Neurointerv Surg. 11(8):841-6, 2019
Manjila S et al: Jugular bulb and skull base pathologies: proposal for a novel classification system for jugular bulb positions and microsurgical implications. Neurosurg Focus. 45(1):E5, 2018
Manjila S et al: Jugular bulb and skull base pathologies: proposal for a novel classification system for jugular bulb positions and microsurgical implications. Neurosurg Focus. 45(1):E5, 2018
Mortimer AM et al: Endovascular treatment of jugular bulb diverticula causing debilitating pulsatile tinnitus. BMJ Case Rep, 2015
Mortimer AM et al: Endovascular treatment of jugular bulb diverticula causing debilitating pulsatile tinnitus. BMJ Case Rep, 2015
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
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
Trivelato FP et al: Endovascular treatment of pulsatile tinnitus associated with transverse sigmoid sinus aneurysms and jugular bulb anomalies. Interv Neuroradiol. 21(4):548-51, 2015
Trivelato FP et al: Endovascular treatment of pulsatile tinnitus associated with transverse sigmoid sinus aneurysms and jugular bulb anomalies. Interv Neuroradiol. 21(4):548-51, 2015
Lim HW et al: Surgical treatment of posterior semicircular canal dehiscence syndrome caused by jugular diverticulum. J Laryngol Otol. 126(9):928-31, 2012
Lim HW et al: Surgical treatment of posterior semicircular canal dehiscence syndrome caused by jugular diverticulum. J Laryngol Otol. 126(9):928-31, 2012
Friedmann DR et al: Clinical spectrum of patients with erosion of the inner ear by jugular bulb abnormalities. Laryngoscope. 120(2):365-72, 2010
Friedmann DR et al: Clinical spectrum of patients with erosion of the inner ear by jugular bulb abnormalities. Laryngoscope. 120(2):365-72, 2010
Raghuram K et al: Condylar jugular diverticulum. J Comput Assist Tomogr. 33(2):309-11, 2009
Raghuram K et al: Condylar jugular diverticulum. J Comput Assist Tomogr. 33(2):309-11, 2009
Fujimoto C et al: Large jugular bulb diverticulum invading the internal auditory canal. Ann Otol Rhinol Laryngol. 116(8):631-6, 2007
Fujimoto C et al: Large jugular bulb diverticulum invading the internal auditory canal. Ann Otol Rhinol Laryngol. 116(8):631-6, 2007
Gilbert ME et al: Meningioma of the jugular foramen: glomus jugulare mimic and surgical challenge. Laryngoscope. 114(1):25-32, 2004
Gilbert ME et al: Meningioma of the jugular foramen: glomus jugulare mimic and surgical challenge. Laryngoscope. 114(1):25-32, 2004
Bilgen C et al: Jugular bulb diverticula: clinical and radiologic aspects. Otolaryngol Head Neck Surg. 128(3):382-6, 2003
Bilgen C et al: Jugular bulb diverticula: clinical and radiologic aspects. Otolaryngol Head Neck Surg. 128(3):382-6, 2003
Schmerber S et al: Endolymphatic duct obstruction related to a jugular bulb diverticulum: high resolution CT and MR imaging findings. Clin Radiol. 57(5):424-8, 2002
Schmerber S et al: Endolymphatic duct obstruction related to a jugular bulb diverticulum: high resolution CT and MR imaging findings. Clin Radiol. 57(5):424-8, 2002
Eldevik OP et al: Imaging findings in schwannomas of the jugular foramen. AJNR Am J Neuroradiol. 21(6):1139-44, 2000
Eldevik OP et al: Imaging findings in schwannomas of the jugular foramen. AJNR Am J Neuroradiol. 21(6):1139-44, 2000
Kobanawa S et al: Jugular bulb diverticulum associated with lower cranial nerve palsy and multiple aneurysms. Surg Neurol. 53(6):559-62, 2000
Kobanawa S et al: Jugular bulb diverticulum associated with lower cranial nerve palsy and multiple aneurysms. Surg Neurol. 53(6):559-62, 2000
Kubo T et al: Evaluation of radiological examination for sensorineural hearing loss. Acta Otolaryngol Suppl. 542:34-8, 2000
Kubo T et al: Evaluation of radiological examination for sensorineural hearing loss. Acta Otolaryngol Suppl. 542:34-8, 2000
Weissman JL et al: Imaging of tinnitus: a review. Radiology. 216(2):342-9, 2000
Weissman JL et al: Imaging of tinnitus: a review. Radiology. 216(2):342-9, 2000
Chong VF et al: Radiology of the jugular foramen. Clin Radiol. 53(6):405-16, 1998
Chong VF et al: Radiology of the jugular foramen. Clin Radiol. 53(6):405-16, 1998
Tekdemir I et al: The jugular foramen: a comparative radioanatomic study. Surg Neurol. 50(6):557-62, 1998
Tekdemir I et al: The jugular foramen: a comparative radioanatomic study. Surg Neurol. 50(6):557-62, 1998
Caldemeyer KS et al: The jugular foramen: a review of anatomy, masses, and imaging characteristics. Radiographics. 17(5):1123-39, 1997
Caldemeyer KS et al: The jugular foramen: a review of anatomy, masses, and imaging characteristics. Radiographics. 17(5):1123-39, 1997
Atilla S et al: Computed tomographic evaluation of surgically significant vascular variations related with the temporal bone. Eur J Radiol. 20(1):52-6, 1995
Atilla S et al: Computed tomographic evaluation of surgically significant vascular variations related with the temporal bone. Eur J Radiol. 20(1):52-6, 1995
Dietz RR et al: MR imaging and MR angiography in the evaluation of pulsatile tinnitus. AJNR Am J Neuroradiol. 15(5):879-89, 1994
Dietz RR et al: MR imaging and MR angiography in the evaluation of pulsatile tinnitus. AJNR Am J Neuroradiol. 15(5):879-89, 1994
Weber AL et al: Radiologic evaluation of the jugular foramen. Anatomy, vascular variants, anomalies, and tumors. Neuroimaging Clin N Am. 4(3):579-98, 1994
Weber AL et al: Radiologic evaluation of the jugular foramen. Anatomy, vascular variants, anomalies, and tumors. Neuroimaging Clin N Am. 4(3):579-98, 1994
Pappas DG Jr et al: Petrous jugular malposition (diverticulum). Otolaryngol Head Neck Surg. 109(5):847-52, 1993
Pappas DG Jr et al: Petrous jugular malposition (diverticulum). Otolaryngol Head Neck Surg. 109(5):847-52, 1993
Daniels DL et al: Jugular foramen: anatomic and computed tomographic study. AJR Am J Roentgenol. 142(1):153-8, 1984
Daniels DL et al: Jugular foramen: anatomic and computed tomographic study. AJR Am J Roentgenol. 142(1):153-8, 1984
Lo WW et al: High-resolution CT of the jugular foramen: anatomy and vascular variants and anomalies. Radiology. 150(3):743-7, 1984
Lo WW et al: High-resolution CT of the jugular foramen: anatomy and vascular variants and anomalies. Radiology. 150(3):743-7, 1984
Jahrsdoerfer RA et al: Endolymphatic duct obstruction from a jugular bulb diverticulum. Ann Otol Rhinol Laryngol. 90(6 Pt 1):619-23, 1981
Jahrsdoerfer RA et al: Endolymphatic duct obstruction from a jugular bulb diverticulum. Ann Otol Rhinol Laryngol. 90(6 Pt 1):619-23, 1981
Stern J et al: Jugular bulb diverticula in medial petrous bone. AJR Am J Roentgenol. 134(5):959-61, 1980
Stern J et al: Jugular bulb diverticula in medial petrous bone. AJR Am J Roentgenol. 134(5):959-61, 1980
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