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Head and Neck
Diagnosis
Skull Base Lesions
Jugular Foramen
Jugular Foramen Meningioma
Jugular Foramen Meningioma
Karen L. Salzman, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Definitions

              • Benign neoplasm arising from arachnoid cap cells found along cranial nerves (CNs) within jugular foramen (JF)

            IMAGING

            • General Features

              • CT Findings

                • MR Findings

                  • Angiographic Findings

                    • Nuclear Medicine Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Staging, Grading, & Classification

                              • Gross Pathologic & Surgical Features

                                • Microscopic Features

                                  CLINICAL ISSUES

                                  • Presentation

                                    • Demographics

                                      • Natural History & Prognosis

                                        • Treatment

                                          DIAGNOSTIC CHECKLIST

                                          • Consider

                                            • Image Interpretation Pearls

                                              Selected References

                                              1. Han JJ et al: Clinicoradiologic characteristics of temporal bone meningioma: multicenter retrospective analysis. Laryngoscope. 131(1):173-8, 2021
                                              2. Birzu C et al: Molecular alterations in meningioma: prognostic and therapeutic perspectives. Curr Opin Oncol. 32(6):613-22, 2020
                                              3. Ito S et al: Function-preserving multimodal treatment for jugular foramen meningiomas. J Neurol Surg B Skull Base. 80(3):239-43, 2019
                                              4. Meling TR et al: Meningioma surgery-are we making progress? World Neurosurg. 125:e205-13, 2019
                                              5. Shin M et al: Endoscopic transmastoid posterior petrosal approach for locally aggressive tumors in the petrous part of the temporal bone involving the internal auditory canal, jugular foramen, and hypoglossal canal. J Neurosurg. 1-13, 2019
                                              6. Tolisano AM et al: Jugular foramen meningioma. Otol Neurotol. 39(3):e222-3, 2018
                                              7. Yoon N et al: Preoperative embolization of skull base meningiomas: current indications, techniques, and pearls for complication avoidance. Neurosurg Focus. 44(4):E5, 2018
                                              8. Samii M et al: Endoscope-assisted retrosigmoid infralabyrinthine approach to jugular foramen tumors. J Neurosurg. 1-7, 2015
                                              9. Thomas AJ et al: Nonparaganglioma jugular foramen tumors. Otolaryngol Clin North Am. 48(2):343-59, 2015
                                              10. Guinto G et al: Nonglomic tumors of the jugular foramen: differential diagnosis and prognostic implications. World Neurosurg. 82(6):1283-90, 2014
                                              11. Nowak A et al: Surgical treatment of jugular foramen meningiomas. Neurol Neurochir Pol. 48(6):391-6, 2014
                                              12. Bakar B: Jugular foramen meningiomas: review of the major surgical series. Neurol Med Chir (Tokyo). 50(2):89-96; disucussion 96-7, 2010
                                              13. Fayad JN et al: Jugular foramen tumors: clinical characteristics and treatment outcomes. Otol Neurotol. 31(2):299-305, 2010
                                              14. Zilani G et al: Venoplasty and stenting of a jugular foramen meningioma. Br J Neurosurg. 23(5):557-60, 2009
                                              15. Toyama C et al: Primary jugular foramen meningioma. Otol Neurotol. 29(3):417-8, 2008
                                              16. Chen ZC et al: Angiomatous type of jugular foramen meningioma with neck extension: differential diagnosis from paraganglioma and schwannoma. Head Neck. 29(8):793-8, 2007
                                              17. Sanna M et al: Surgical management of jugular foramen meningiomas: a series of 13 cases and review of the literature. Laryngoscope. 117(10):1710-9, 2007
                                              18. Hamilton BE et al: Imaging and clinical characteristics of temporal bone meningioma. AJNR Am J Neuroradiol. 27(10):2204-9, 2006
                                              19. Ramina R et al: Meningiomas of the jugular foramen. Neurosurg Rev. 29(1):55-60, 2006
                                              20. Takei H et al: Jugular foramen chordoid meningioma. Pathol Int. 56(7):397-401, 2006
                                              21. Shimono T et al: Different signal intensities between intra- and extracranial components in jugular foramen meningioma: an enigma. AJNR Am J Neuroradiol. 26(5):1122-7, 2005
                                              22. Gilbert ME et al: Meningioma of the jugular foramen: glomus jugulare mimic and surgical challenge. Laryngoscope. 114(1):25-32, 2004
                                              23. Macdonald AJ et al: Primary jugular foramen meningioma: imaging appearance and differentiating features. AJR Am J Roentgenol. 182(2):373-7, 2004
                                              24. Nicolato A et al: Gamma knife radiosurgery in meningiomas of the posterior fossa. Experience with 62 treated lesions. Minim Invasive Neurosurg. 44(4):211-7, 2001
                                              25. Roberti F et al: Posterior fossa meningiomas: surgical experience in 161 cases. Surg Neurol. 56(1):8-20; discussion 20-1, 2001
                                              26. Caldemeyer KS et al: The jugular foramen: a review of anatomy, masses, and imaging characteristics. Radiographics. 17(5):1123-39, 1997
                                              27. Lustig LR et al: The variable relationship between the lower cranial nerves and jugular foramen tumors: implications for neural preservation. Am J Otol. 17(4):658-68, 1996
                                              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

                                                        • Definitions

                                                          • Benign neoplasm arising from arachnoid cap cells found along cranial nerves (CNs) within jugular foramen (JF)

                                                        IMAGING

                                                        • General Features

                                                          • CT Findings

                                                            • MR Findings

                                                              • Angiographic Findings

                                                                • Nuclear Medicine Findings

                                                                  • Imaging Recommendations

                                                                    DIFFERENTIAL DIAGNOSIS

                                                                      PATHOLOGY

                                                                      • General Features

                                                                        • Staging, Grading, & Classification

                                                                          • Gross Pathologic & Surgical Features

                                                                            • Microscopic Features

                                                                              CLINICAL ISSUES

                                                                              • Presentation

                                                                                • Demographics

                                                                                  • Natural History & Prognosis

                                                                                    • Treatment

                                                                                      DIAGNOSTIC CHECKLIST

                                                                                      • Consider

                                                                                        • Image Interpretation Pearls

                                                                                          Selected References

                                                                                          1. Han JJ et al: Clinicoradiologic characteristics of temporal bone meningioma: multicenter retrospective analysis. Laryngoscope. 131(1):173-8, 2021
                                                                                          2. Birzu C et al: Molecular alterations in meningioma: prognostic and therapeutic perspectives. Curr Opin Oncol. 32(6):613-22, 2020
                                                                                          3. Ito S et al: Function-preserving multimodal treatment for jugular foramen meningiomas. J Neurol Surg B Skull Base. 80(3):239-43, 2019
                                                                                          4. Meling TR et al: Meningioma surgery-are we making progress? World Neurosurg. 125:e205-13, 2019
                                                                                          5. Shin M et al: Endoscopic transmastoid posterior petrosal approach for locally aggressive tumors in the petrous part of the temporal bone involving the internal auditory canal, jugular foramen, and hypoglossal canal. J Neurosurg. 1-13, 2019
                                                                                          6. Tolisano AM et al: Jugular foramen meningioma. Otol Neurotol. 39(3):e222-3, 2018
                                                                                          7. Yoon N et al: Preoperative embolization of skull base meningiomas: current indications, techniques, and pearls for complication avoidance. Neurosurg Focus. 44(4):E5, 2018
                                                                                          8. Samii M et al: Endoscope-assisted retrosigmoid infralabyrinthine approach to jugular foramen tumors. J Neurosurg. 1-7, 2015
                                                                                          9. Thomas AJ et al: Nonparaganglioma jugular foramen tumors. Otolaryngol Clin North Am. 48(2):343-59, 2015
                                                                                          10. Guinto G et al: Nonglomic tumors of the jugular foramen: differential diagnosis and prognostic implications. World Neurosurg. 82(6):1283-90, 2014
                                                                                          11. Nowak A et al: Surgical treatment of jugular foramen meningiomas. Neurol Neurochir Pol. 48(6):391-6, 2014
                                                                                          12. Bakar B: Jugular foramen meningiomas: review of the major surgical series. Neurol Med Chir (Tokyo). 50(2):89-96; disucussion 96-7, 2010
                                                                                          13. Fayad JN et al: Jugular foramen tumors: clinical characteristics and treatment outcomes. Otol Neurotol. 31(2):299-305, 2010
                                                                                          14. Zilani G et al: Venoplasty and stenting of a jugular foramen meningioma. Br J Neurosurg. 23(5):557-60, 2009
                                                                                          15. Toyama C et al: Primary jugular foramen meningioma. Otol Neurotol. 29(3):417-8, 2008
                                                                                          16. Chen ZC et al: Angiomatous type of jugular foramen meningioma with neck extension: differential diagnosis from paraganglioma and schwannoma. Head Neck. 29(8):793-8, 2007
                                                                                          17. Sanna M et al: Surgical management of jugular foramen meningiomas: a series of 13 cases and review of the literature. Laryngoscope. 117(10):1710-9, 2007
                                                                                          18. Hamilton BE et al: Imaging and clinical characteristics of temporal bone meningioma. AJNR Am J Neuroradiol. 27(10):2204-9, 2006
                                                                                          19. Ramina R et al: Meningiomas of the jugular foramen. Neurosurg Rev. 29(1):55-60, 2006
                                                                                          20. Takei H et al: Jugular foramen chordoid meningioma. Pathol Int. 56(7):397-401, 2006
                                                                                          21. Shimono T et al: Different signal intensities between intra- and extracranial components in jugular foramen meningioma: an enigma. AJNR Am J Neuroradiol. 26(5):1122-7, 2005
                                                                                          22. Gilbert ME et al: Meningioma of the jugular foramen: glomus jugulare mimic and surgical challenge. Laryngoscope. 114(1):25-32, 2004
                                                                                          23. Macdonald AJ et al: Primary jugular foramen meningioma: imaging appearance and differentiating features. AJR Am J Roentgenol. 182(2):373-7, 2004
                                                                                          24. Nicolato A et al: Gamma knife radiosurgery in meningiomas of the posterior fossa. Experience with 62 treated lesions. Minim Invasive Neurosurg. 44(4):211-7, 2001
                                                                                          25. Roberti F et al: Posterior fossa meningiomas: surgical experience in 161 cases. Surg Neurol. 56(1):8-20; discussion 20-1, 2001
                                                                                          26. Caldemeyer KS et al: The jugular foramen: a review of anatomy, masses, and imaging characteristics. Radiographics. 17(5):1123-39, 1997
                                                                                          27. Lustig LR et al: The variable relationship between the lower cranial nerves and jugular foramen tumors: implications for neural preservation. Am J Otol. 17(4):658-68, 1996