Jugulotympanic paraganglioma: A rare cause of vertigo

Asad Jehangir, Ranjan Pathak, Bilal Shaikh, Ahmed Salman, Shoaib Bilal Fareedy, Anam Qureshi, Qasim Jehangir, Richard Alweis

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Objective: Rare disease Background: Jugulotympanic paraganglioma generally presents in the 5th or 6th decades of life with tinnitus and hearing loss. In this manuscript, we present a rare case of jugulotympanic paraganglioma presenting in the 9th decade with vertigo as the most bothersome symptom. Case Report: An 83-year-old woman presented with worsening episodes of dizziness of a few months duration. She also complained of tinnitus and hearing loss, more severe on the left side. Examination revealed a red bulging leftsided tympanic membrane, conductive hearing loss, and a bruit at the base of the skull. Dix-Hallpike test was negative. CT head and MRI brain revealed findings consistent with a large left-sided jugulotympanic paraganglioma, which was found to be hormonally inactive on laboratory tests. The patient underwent treatment with radiotherapy, which resulted in partial improvement of symptoms. Conclusions: Jugulotympanic paraganglioma may manifest in the elderly with the chief complaint of intermittent vertigo, as in our case. A red bulging mass on otoscopy raises the suspicion, necessitating further investigations, including CT and MRI.

Original languageEnglish (US)
Pages (from-to)228-231
Number of pages4
JournalAmerican Journal of Case Reports
Volume16
DOIs
StatePublished - Apr 18 2015
Externally publishedYes

Keywords

  • Glomus jugulare tumor
  • Hearing loss conductive
  • Radiotherapy
  • Tinnitus
  • Vertigo

ASJC Scopus subject areas

  • Medicine(all)

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