Jugular bulb diverticulum associated with lower cranial nerve palsy and multiple aneurysms.
BACKGROUND
Jugular bulb diverticulum is a rare condition that has never been reported in association with lower cranial nerve palsy.


METHODS
A 54-year-old woman developed acute swallowing disturbance and hoarseness. Neuroradiological examinations demonstrated a jugular bulb diverticulum as well as unruptured internal carotid and basilar tip aneurysms on the same side. Laboratory data for both serum and cerebrospinal fluid were normal. Steroids were given, and the cranial nerve palsy disappeared within 1 month. The aneurysms were successfully clipped. During the follow-up period of more than 1 year, the patient has done well and has no neurological deficit.


CONCLUSIONS
This is the first reported case of jugular bulb diverticulum associated with a lower cranial nerve palsy and multiple aneurysms. We recommend close observation of patients with this condition regardless of its clinical presentation.
Department of Neurosurgery, Kantou Rosai Hospital, Kawasaki, Japan.
S
S
Kobanawa
M
M
Atsuchi
J
J
Tanaka
T
T
Shigeno
D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D002533:Cerebral Angiography / Q000379:methods; D003391:Cranial Nerves / Q000503:physiopathology*; D004240:Diverticulum / Q000175:diagnosis* / Q000209:etiology*; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications* / Q000175:diagnosis; D007601:Jugular Veins / Q000000981:diagnostic imaging* / Q000473:pathology*; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D011239:Prednisolone / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed; D014826:Vocal Cord Paralysis / Q000150:complications* / Q000188:drug therapy / Q000503:physiopathology*
D000893:Anti-Inflammatory Agents; D011239:Prednisolone