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KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Synonyms
- Jugular bulb (JB) pseudomass; "leave alone" lesion of jugular foramen (JF)
Definitions
- Asymmetric, large JB flow phenomenon simulates neoplasm or thrombosis on MR sequences
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
- Totten DJ et al: Persistent conductive hearing loss after tympanostomy tube placement due to high-riding jugular bulb. Laryngoscope. 131(4):E1272-4, 2021
- Liu GS et al: Systematic review of temporal bone-resurfacing techniques for pulsatile tinnitus associated with vascular wall anomalies. Otolaryngol Head Neck Surg. 160(5):749-61, 2019
- Sarioglu FC et al: Variations of the vascular canals in the cochlear implant candidates. Int J Pediatr Otorhinolaryngol. 123:123-7, 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
- Yeo WX et al: Surgical management of pulsatile tinnitus secondary to jugular bulb or sigmoid sinus diverticulum with review of literature. Am J Otolaryngol. 39(2):247-52, 2018
- Kizildag B et al: The relationship between tinnitus and vascular anomalies on temporal bone CT scan: a retrospective case control study. Surg Radiol Anat. 38(7):835-41, 2016
- Mortimer AM et al: Endovascular treatment of jugular bulb diverticula causing debilitating pulsatile tinnitus. J Neurointerv Surg. 8(3):e11, 2016
- Bae SC et al: Single-center 10-year experience in treating patients with vascular tinnitus: diagnostic approaches and treatment outcomes. Clin Exp Otorhinolaryngol. 8(1):7-12, 2015
- Mundada P et al: CT arteriography and venography in the evaluation of pulsatile tinnitus with normal otoscopic examination. Laryngoscope. 125(4):979-84, 2015
- Sakaida H et al: Dehiscent high jugular bulb attached to the tympanic membrane. Ear Nose Throat J. 94(6):210; 212, 2015
- Atmaca S et al: High and dehiscent jugular bulb: clear and present danger during middle ear surgery. Surg Radiol Anat. 36(4):369-74, 2014
- Shaikh MF et al: A novel approach for surgical repair of dehiscent high jugular bulb. Laryngoscope. 123(7):1803-5, 2013
- Shweel M et al: Diagnostic utility of magnetic resonance imaging and magnetic resonance angiography in the radiological evaluation of pulsatile tinnitus. Am J Otolaryngol. 34(6):710-7, 2013
- El-Begermy MA et al: A novel surgical technique for management of tinnitus due to high dehiscent jugular bulb. Otolaryngol Head Neck Surg. 142(4):576-81, 2010
- Fayad JN et al: Jugular foramen tumors: clinical characteristics and treatment outcomes. Otol Neurotol. 31(2):299-305, 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
- 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
- Meckel S et al: Display of dural sinuses with time-resolved, contrast-enhanced three-dimensional MR venography. Cerebrovasc Dis. 25(3):217-24, 2008
- Dai PD et al: Morphological and positional relationships between the sigmoid sinus and the jugular bulb. Surg Radiol Anat. 29(8):643-51, 2007
- Bilgen C et al: Jugular bulb diverticula: clinical and radiologic aspects. Otolaryngol Head Neck Surg. 128(3):382-6, 2003
- Tsunoda A: Sensorineural hearing loss caused by a high jugular bulb. J Laryngol Otol. 114(11):867-9, 2000
- Palacios E et al: Jugular bulb appearing as a mass. Ear Nose Throat J. 78(8):536, 1999
- 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
- Tomura N et al: Normal variations of the temporal bone on high-resolution CT: their incidence and clinical significance. Clin Radiol. 50(3):144-8, 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
- Okudera T et al: Development of posterior fossa dural sinuses, emissary veins, and jugular bulb: morphological and radiologic study. AJNR Am J Neuroradiol. 15(10):1871-83, 1994
- Ongre A: The jugular bulb once more. AJR Am J Roentgenol. 135(5):1117, 1980
- Stern J et al: Jugular bulb diverticula in medial petrous bone. AJR Am J Roentgenol. 134(5):959-61, 1980
Related Anatomy
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Synonyms
- Jugular bulb (JB) pseudomass; "leave alone" lesion of jugular foramen (JF)
Definitions
- Asymmetric, large JB flow phenomenon simulates neoplasm or thrombosis on MR sequences
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
- Totten DJ et al: Persistent conductive hearing loss after tympanostomy tube placement due to high-riding jugular bulb. Laryngoscope. 131(4):E1272-4, 2021
- Liu GS et al: Systematic review of temporal bone-resurfacing techniques for pulsatile tinnitus associated with vascular wall anomalies. Otolaryngol Head Neck Surg. 160(5):749-61, 2019
- Sarioglu FC et al: Variations of the vascular canals in the cochlear implant candidates. Int J Pediatr Otorhinolaryngol. 123:123-7, 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
- Yeo WX et al: Surgical management of pulsatile tinnitus secondary to jugular bulb or sigmoid sinus diverticulum with review of literature. Am J Otolaryngol. 39(2):247-52, 2018
- Kizildag B et al: The relationship between tinnitus and vascular anomalies on temporal bone CT scan: a retrospective case control study. Surg Radiol Anat. 38(7):835-41, 2016
- Mortimer AM et al: Endovascular treatment of jugular bulb diverticula causing debilitating pulsatile tinnitus. J Neurointerv Surg. 8(3):e11, 2016
- Bae SC et al: Single-center 10-year experience in treating patients with vascular tinnitus: diagnostic approaches and treatment outcomes. Clin Exp Otorhinolaryngol. 8(1):7-12, 2015
- Mundada P et al: CT arteriography and venography in the evaluation of pulsatile tinnitus with normal otoscopic examination. Laryngoscope. 125(4):979-84, 2015
- Sakaida H et al: Dehiscent high jugular bulb attached to the tympanic membrane. Ear Nose Throat J. 94(6):210; 212, 2015
- Atmaca S et al: High and dehiscent jugular bulb: clear and present danger during middle ear surgery. Surg Radiol Anat. 36(4):369-74, 2014
- Shaikh MF et al: A novel approach for surgical repair of dehiscent high jugular bulb. Laryngoscope. 123(7):1803-5, 2013
- Shweel M et al: Diagnostic utility of magnetic resonance imaging and magnetic resonance angiography in the radiological evaluation of pulsatile tinnitus. Am J Otolaryngol. 34(6):710-7, 2013
- El-Begermy MA et al: A novel surgical technique for management of tinnitus due to high dehiscent jugular bulb. Otolaryngol Head Neck Surg. 142(4):576-81, 2010
- Fayad JN et al: Jugular foramen tumors: clinical characteristics and treatment outcomes. Otol Neurotol. 31(2):299-305, 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
- 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
- Meckel S et al: Display of dural sinuses with time-resolved, contrast-enhanced three-dimensional MR venography. Cerebrovasc Dis. 25(3):217-24, 2008
- Dai PD et al: Morphological and positional relationships between the sigmoid sinus and the jugular bulb. Surg Radiol Anat. 29(8):643-51, 2007
- Bilgen C et al: Jugular bulb diverticula: clinical and radiologic aspects. Otolaryngol Head Neck Surg. 128(3):382-6, 2003
- Tsunoda A: Sensorineural hearing loss caused by a high jugular bulb. J Laryngol Otol. 114(11):867-9, 2000
- Palacios E et al: Jugular bulb appearing as a mass. Ear Nose Throat J. 78(8):536, 1999
- 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
- Tomura N et al: Normal variations of the temporal bone on high-resolution CT: their incidence and clinical significance. Clin Radiol. 50(3):144-8, 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
- Okudera T et al: Development of posterior fossa dural sinuses, emissary veins, and jugular bulb: morphological and radiologic study. AJNR Am J Neuroradiol. 15(10):1871-83, 1994
- Ongre A: The jugular bulb once more. AJR Am J Roentgenol. 135(5):1117, 1980
- Stern J et al: Jugular bulb diverticula in medial petrous bone. AJR Am J Roentgenol. 134(5):959-61, 1980
