Cerebellopontine angle meningioma with a high jugular bulb.
A cerebellopontine angle meningioma originating from the skull base over a high jugular bulb is quite rare. We report a case of a 68-year-old woman who had a right cerebellopontine angle meningioma with a prominent high jugular bulb. CT and MRI revealed a round tumour which attached to a bony prominence over the high jugular bulb. The apex of the jugular bulb was 3 mm higher than the floor of the internal auditory canal. The tumour was removed via a suboccipital retrosigmoid approach. The bony projection was drilled off carefully using a diamond drill; the jugular bulb became visible through the thinned bone. When a meningioma of this type is removed including bony changes, special attention is needed to avoid injury to the jugular bulb.
Akaishi
K
K
Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan.
Hongo
K
K
Tanaka
Y
Y
Kobayashi
S
S
D000368:Aged; D002530:Cerebellopontine Angle / Q000473:pathology*; D005260:Female; D006801:Humans; D007601:Jugular Veins / Q000473:pathology*; D008279:Magnetic Resonance Imaging; D008577:Meningeal Neoplasms / Q000473:pathology* / Q000601:surgery; D008579:Meningioma / Q000473:pathology* / Q000601:surgery