Collet-Sicard syndrome secondary to a large glomus jugulotympanicum.
Collet-Sicard syndrome is caused by various neoplastic and non-neoplastic lesions affecting the base of the skull with involvement of IX, X, XI and XII cranial nerves. Paraganglioma accounts for < 1% of all the neoplasms in the head and neck region. They are traditionally considered as benign, slow growing, locally invasive, encapsulated and highly vascular tumors. We report a case of Collet-Sicard syndrome secondary to a large glomus jugulotympanicum in a 45-year-old woman who presented to the emergency department with complaints of recurrent episodes of a fresh bleeding from the left ear for the previous 5 days. She had pain and decreased hearing for the last 3 years and features of multiple cranial nerve palsies. A radiological diagnosis of glomus jugulotympanicum (paraganglioma) was made, which was confirmed by the biopsy tissue. At 6-month follow up, episodes of recurrent bleeding had stopped, but cranial nerve palsies persisted.
Dr. Saifullah Khalid, SR, Department of Radiodiagnosis,, Jawaharlal Nehru Medical College & Hospital;, House No. 386-A, Street No.1, Iqra Colony,, Aligarh, Uttar Pradesh-202002 India, M: 0091-9897218098, saif2k@gmail.com.
Saifullah
S
Khalid
Samreen
S
Zaheer
Mohd
M
Khalid
Sufian
S
Zaheer
Raj Kumar
RK
Raghuwanshi
D001706:Biopsy; D003389:Cranial Nerve Diseases / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D005500:Follow-Up Studies; D005925:Glomus Jugulare Tumor / Q000150:complications* / Q000175:diagnosis; D006484:Hemorrhoids / Q000209:etiology; D006801:Humans; D008875:Middle Aged; D012008:Recurrence; D013577:Syndrome