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Jugular Bulb Diverticulum
Karen L. Salzman, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • 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

                                          1. Hwa TP et al: Jugular bulb anomalies involving the internal auditory canal: a case series. Ann Otol Rhinol Laryngol. 130(8):970-5, 2021
                                          2. Sarioglu FC et al: Variations of the vascular canals in the cochlear implant candidates. Int J Pediatr Otorhinolaryngol. 123:123-7, 2019
                                          3. Sarioglu FC et al: Variations of the vascular canals in the cochlear implant candidates. Int J Pediatr Otorhinolaryngol. 123:123-7, 2019
                                          4. 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
                                          5. 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
                                          6. 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
                                          7. 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
                                          8. Mortimer AM et al: Endovascular treatment of jugular bulb diverticula causing debilitating pulsatile tinnitus. BMJ Case Rep, 2015
                                          9. Mortimer AM et al: Endovascular treatment of jugular bulb diverticula causing debilitating pulsatile tinnitus. BMJ Case Rep, 2015
                                          10. 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
                                          11. 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
                                          12. 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
                                          13. 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
                                          14. Lim HW et al: Surgical treatment of posterior semicircular canal dehiscence syndrome caused by jugular diverticulum. J Laryngol Otol. 126(9):928-31, 2012
                                          15. Lim HW et al: Surgical treatment of posterior semicircular canal dehiscence syndrome caused by jugular diverticulum. J Laryngol Otol. 126(9):928-31, 2012
                                          16. Friedmann DR et al: Clinical spectrum of patients with erosion of the inner ear by jugular bulb abnormalities. Laryngoscope. 120(2):365-72, 2010
                                          17. Friedmann DR et al: Clinical spectrum of patients with erosion of the inner ear by jugular bulb abnormalities. Laryngoscope. 120(2):365-72, 2010
                                          18. Raghuram K et al: Condylar jugular diverticulum. J Comput Assist Tomogr. 33(2):309-11, 2009
                                          19. Raghuram K et al: Condylar jugular diverticulum. J Comput Assist Tomogr. 33(2):309-11, 2009
                                          20. Fujimoto C et al: Large jugular bulb diverticulum invading the internal auditory canal. Ann Otol Rhinol Laryngol. 116(8):631-6, 2007
                                          21. Fujimoto C et al: Large jugular bulb diverticulum invading the internal auditory canal. Ann Otol Rhinol Laryngol. 116(8):631-6, 2007
                                          22. Gilbert ME et al: Meningioma of the jugular foramen: glomus jugulare mimic and surgical challenge. Laryngoscope. 114(1):25-32, 2004
                                          23. Gilbert ME et al: Meningioma of the jugular foramen: glomus jugulare mimic and surgical challenge. Laryngoscope. 114(1):25-32, 2004
                                          24. Bilgen C et al: Jugular bulb diverticula: clinical and radiologic aspects. Otolaryngol Head Neck Surg. 128(3):382-6, 2003
                                          25. Bilgen C et al: Jugular bulb diverticula: clinical and radiologic aspects. Otolaryngol Head Neck Surg. 128(3):382-6, 2003
                                          26. 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
                                          27. 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
                                          28. Eldevik OP et al: Imaging findings in schwannomas of the jugular foramen. AJNR Am J Neuroradiol. 21(6):1139-44, 2000
                                          29. Eldevik OP et al: Imaging findings in schwannomas of the jugular foramen. AJNR Am J Neuroradiol. 21(6):1139-44, 2000
                                          30. Kobanawa S et al: Jugular bulb diverticulum associated with lower cranial nerve palsy and multiple aneurysms. Surg Neurol. 53(6):559-62, 2000
                                          31. Kobanawa S et al: Jugular bulb diverticulum associated with lower cranial nerve palsy and multiple aneurysms. Surg Neurol. 53(6):559-62, 2000
                                          32. Kubo T et al: Evaluation of radiological examination for sensorineural hearing loss. Acta Otolaryngol Suppl. 542:34-8, 2000
                                          33. Kubo T et al: Evaluation of radiological examination for sensorineural hearing loss. Acta Otolaryngol Suppl. 542:34-8, 2000
                                          34. Weissman JL et al: Imaging of tinnitus: a review. Radiology. 216(2):342-9, 2000
                                          35. Weissman JL et al: Imaging of tinnitus: a review. Radiology. 216(2):342-9, 2000
                                          36. Chong VF et al: Radiology of the jugular foramen. Clin Radiol. 53(6):405-16, 1998
                                          37. Chong VF et al: Radiology of the jugular foramen. Clin Radiol. 53(6):405-16, 1998
                                          38. Tekdemir I et al: The jugular foramen: a comparative radioanatomic study. Surg Neurol. 50(6):557-62, 1998
                                          39. Tekdemir I et al: The jugular foramen: a comparative radioanatomic study. Surg Neurol. 50(6):557-62, 1998
                                          40. Caldemeyer KS et al: The jugular foramen: a review of anatomy, masses, and imaging characteristics. Radiographics. 17(5):1123-39, 1997
                                          41. Caldemeyer KS et al: The jugular foramen: a review of anatomy, masses, and imaging characteristics. Radiographics. 17(5):1123-39, 1997
                                          42. 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
                                          43. 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
                                          44. Dietz RR et al: MR imaging and MR angiography in the evaluation of pulsatile tinnitus. AJNR Am J Neuroradiol. 15(5):879-89, 1994
                                          45. Dietz RR et al: MR imaging and MR angiography in the evaluation of pulsatile tinnitus. AJNR Am J Neuroradiol. 15(5):879-89, 1994
                                          46. 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
                                          47. 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
                                          48. Pappas DG Jr et al: Petrous jugular malposition (diverticulum). Otolaryngol Head Neck Surg. 109(5):847-52, 1993
                                          49. Pappas DG Jr et al: Petrous jugular malposition (diverticulum). Otolaryngol Head Neck Surg. 109(5):847-52, 1993
                                          50. Daniels DL et al: Jugular foramen: anatomic and computed tomographic study. AJR Am J Roentgenol. 142(1):153-8, 1984
                                          51. Daniels DL et al: Jugular foramen: anatomic and computed tomographic study. AJR Am J Roentgenol. 142(1):153-8, 1984
                                          52. Lo WW et al: High-resolution CT of the jugular foramen: anatomy and vascular variants and anomalies. Radiology. 150(3):743-7, 1984
                                          53. Lo WW et al: High-resolution CT of the jugular foramen: anatomy and vascular variants and anomalies. Radiology. 150(3):743-7, 1984
                                          54. Jahrsdoerfer RA et al: Endolymphatic duct obstruction from a jugular bulb diverticulum. Ann Otol Rhinol Laryngol. 90(6 Pt 1):619-23, 1981
                                          55. Jahrsdoerfer RA et al: Endolymphatic duct obstruction from a jugular bulb diverticulum. Ann Otol Rhinol Laryngol. 90(6 Pt 1):619-23, 1981
                                          56. Stern J et al: Jugular bulb diverticula in medial petrous bone. AJR Am J Roentgenol. 134(5):959-61, 1980
                                          57. Stern J et al: Jugular bulb diverticula in medial petrous bone. AJR Am J Roentgenol. 134(5):959-61, 1980
                                          Related Anatomy
                                          Loading...
                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Top Differential Diagnoses

                                                • Pathology

                                                  • Clinical Issues

                                                    • 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

                                                                                  1. Hwa TP et al: Jugular bulb anomalies involving the internal auditory canal: a case series. Ann Otol Rhinol Laryngol. 130(8):970-5, 2021
                                                                                  2. Sarioglu FC et al: Variations of the vascular canals in the cochlear implant candidates. Int J Pediatr Otorhinolaryngol. 123:123-7, 2019
                                                                                  3. Sarioglu FC et al: Variations of the vascular canals in the cochlear implant candidates. Int J Pediatr Otorhinolaryngol. 123:123-7, 2019
                                                                                  4. 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
                                                                                  5. 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
                                                                                  6. 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
                                                                                  7. 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
                                                                                  8. Mortimer AM et al: Endovascular treatment of jugular bulb diverticula causing debilitating pulsatile tinnitus. BMJ Case Rep, 2015
                                                                                  9. Mortimer AM et al: Endovascular treatment of jugular bulb diverticula causing debilitating pulsatile tinnitus. BMJ Case Rep, 2015
                                                                                  10. 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
                                                                                  11. 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
                                                                                  12. 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
                                                                                  13. 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
                                                                                  14. Lim HW et al: Surgical treatment of posterior semicircular canal dehiscence syndrome caused by jugular diverticulum. J Laryngol Otol. 126(9):928-31, 2012
                                                                                  15. Lim HW et al: Surgical treatment of posterior semicircular canal dehiscence syndrome caused by jugular diverticulum. J Laryngol Otol. 126(9):928-31, 2012
                                                                                  16. Friedmann DR et al: Clinical spectrum of patients with erosion of the inner ear by jugular bulb abnormalities. Laryngoscope. 120(2):365-72, 2010
                                                                                  17. Friedmann DR et al: Clinical spectrum of patients with erosion of the inner ear by jugular bulb abnormalities. Laryngoscope. 120(2):365-72, 2010
                                                                                  18. Raghuram K et al: Condylar jugular diverticulum. J Comput Assist Tomogr. 33(2):309-11, 2009
                                                                                  19. Raghuram K et al: Condylar jugular diverticulum. J Comput Assist Tomogr. 33(2):309-11, 2009
                                                                                  20. Fujimoto C et al: Large jugular bulb diverticulum invading the internal auditory canal. Ann Otol Rhinol Laryngol. 116(8):631-6, 2007
                                                                                  21. Fujimoto C et al: Large jugular bulb diverticulum invading the internal auditory canal. Ann Otol Rhinol Laryngol. 116(8):631-6, 2007
                                                                                  22. Gilbert ME et al: Meningioma of the jugular foramen: glomus jugulare mimic and surgical challenge. Laryngoscope. 114(1):25-32, 2004
                                                                                  23. Gilbert ME et al: Meningioma of the jugular foramen: glomus jugulare mimic and surgical challenge. Laryngoscope. 114(1):25-32, 2004
                                                                                  24. Bilgen C et al: Jugular bulb diverticula: clinical and radiologic aspects. Otolaryngol Head Neck Surg. 128(3):382-6, 2003
                                                                                  25. Bilgen C et al: Jugular bulb diverticula: clinical and radiologic aspects. Otolaryngol Head Neck Surg. 128(3):382-6, 2003
                                                                                  26. 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
                                                                                  27. 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
                                                                                  28. Eldevik OP et al: Imaging findings in schwannomas of the jugular foramen. AJNR Am J Neuroradiol. 21(6):1139-44, 2000
                                                                                  29. Eldevik OP et al: Imaging findings in schwannomas of the jugular foramen. AJNR Am J Neuroradiol. 21(6):1139-44, 2000
                                                                                  30. Kobanawa S et al: Jugular bulb diverticulum associated with lower cranial nerve palsy and multiple aneurysms. Surg Neurol. 53(6):559-62, 2000
                                                                                  31. Kobanawa S et al: Jugular bulb diverticulum associated with lower cranial nerve palsy and multiple aneurysms. Surg Neurol. 53(6):559-62, 2000
                                                                                  32. Kubo T et al: Evaluation of radiological examination for sensorineural hearing loss. Acta Otolaryngol Suppl. 542:34-8, 2000
                                                                                  33. Kubo T et al: Evaluation of radiological examination for sensorineural hearing loss. Acta Otolaryngol Suppl. 542:34-8, 2000
                                                                                  34. Weissman JL et al: Imaging of tinnitus: a review. Radiology. 216(2):342-9, 2000
                                                                                  35. Weissman JL et al: Imaging of tinnitus: a review. Radiology. 216(2):342-9, 2000
                                                                                  36. Chong VF et al: Radiology of the jugular foramen. Clin Radiol. 53(6):405-16, 1998
                                                                                  37. Chong VF et al: Radiology of the jugular foramen. Clin Radiol. 53(6):405-16, 1998
                                                                                  38. Tekdemir I et al: The jugular foramen: a comparative radioanatomic study. Surg Neurol. 50(6):557-62, 1998
                                                                                  39. Tekdemir I et al: The jugular foramen: a comparative radioanatomic study. Surg Neurol. 50(6):557-62, 1998
                                                                                  40. Caldemeyer KS et al: The jugular foramen: a review of anatomy, masses, and imaging characteristics. Radiographics. 17(5):1123-39, 1997
                                                                                  41. Caldemeyer KS et al: The jugular foramen: a review of anatomy, masses, and imaging characteristics. Radiographics. 17(5):1123-39, 1997
                                                                                  42. 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
                                                                                  43. 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
                                                                                  44. Dietz RR et al: MR imaging and MR angiography in the evaluation of pulsatile tinnitus. AJNR Am J Neuroradiol. 15(5):879-89, 1994
                                                                                  45. Dietz RR et al: MR imaging and MR angiography in the evaluation of pulsatile tinnitus. AJNR Am J Neuroradiol. 15(5):879-89, 1994
                                                                                  46. 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
                                                                                  47. 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
                                                                                  48. Pappas DG Jr et al: Petrous jugular malposition (diverticulum). Otolaryngol Head Neck Surg. 109(5):847-52, 1993
                                                                                  49. Pappas DG Jr et al: Petrous jugular malposition (diverticulum). Otolaryngol Head Neck Surg. 109(5):847-52, 1993
                                                                                  50. Daniels DL et al: Jugular foramen: anatomic and computed tomographic study. AJR Am J Roentgenol. 142(1):153-8, 1984
                                                                                  51. Daniels DL et al: Jugular foramen: anatomic and computed tomographic study. AJR Am J Roentgenol. 142(1):153-8, 1984
                                                                                  52. Lo WW et al: High-resolution CT of the jugular foramen: anatomy and vascular variants and anomalies. Radiology. 150(3):743-7, 1984
                                                                                  53. Lo WW et al: High-resolution CT of the jugular foramen: anatomy and vascular variants and anomalies. Radiology. 150(3):743-7, 1984
                                                                                  54. Jahrsdoerfer RA et al: Endolymphatic duct obstruction from a jugular bulb diverticulum. Ann Otol Rhinol Laryngol. 90(6 Pt 1):619-23, 1981
                                                                                  55. Jahrsdoerfer RA et al: Endolymphatic duct obstruction from a jugular bulb diverticulum. Ann Otol Rhinol Laryngol. 90(6 Pt 1):619-23, 1981
                                                                                  56. Stern J et al: Jugular bulb diverticula in medial petrous bone. AJR Am J Roentgenol. 134(5):959-61, 1980
                                                                                  57. Stern J et al: Jugular bulb diverticula in medial petrous bone. AJR Am J Roentgenol. 134(5):959-61, 1980