Title: Glomus Tumour-A Rare Presentation - Case Report
Authors: Dr Verranna Kotrashetti, Dr Vijay Sonawane, Dr Kapil Bainade, Dr Abir Lal Nath
DOI: http://dx.doi.org/10.18535/jmscr/v3i12.08
Abstract
Introduction: Glomus jugulare tumors are rare, slow-growing, hypervascular tumors that arise within thejugular foramen of the temporal bone. They are included in a group of tumors referred to as paragangliomas, whichoccur at various sites and include carotid body, glomus vagale, and glomus tympanicum tumors.
Case Presentation: A 4 year female child born to Non consangious parents presented with deviation of angle of mouth to the left since 2 month with drooping of eyelids and severe pain in the left premastoid region.Preliminary examination revealed purulent discharge which was foul smelling and ptosis. Child developed altered sensorium with facial weakness and was shifted in PICU and MRI brain and HRCT temporal bone s/o GLOMUS tumour.Managed with antibiotics.
Conclusion: Glomus tumors are benign, slow growing tumors originating from paraganglionic tissue, mostly located at the carotid bifurcation, jugular foramen, cervical portion vagus nerve, and middle ear cavity. Radiotherapy is treatment of choice for patients with intracranial extension, and patients with bilateral and multiple tumors, or patients who are inoperable.
Keywords: Glomus Tumour(GT)
References
1. Sniezek JC, Netterville JL, Sabri AN: Vagal paragangliomas.
Otolaryngol Clin North Am 2001, 34:925-939. PubMed Abstract |Publisher Full Text
2. Hallett JW Jr, Nora JD, Hollier LH, Cherry KJ Jr, Pairolero PC: Trends in neurovascular complications of surgical management for carotid body and cervical paragangliomas: a fifty-year experience with 153 tumors.
J Vasc Surg 1988, 7:284-291. PubMed Abstract | Publisher Fullext
3. Keir JA, Wilbourn M, Anslow P, Milford CA: Case report of glomus jugulare tumor associated with a posterior fossa cyst.
J Laryngol Otol 2009, 123:126-128. PubMed Abstract|Publisher Full Text
4. Netterville JL, Reilly KM, Robertson D, Reiber ME, Armstrong WB, Childs P: Carotid body tumors: a review of 30 patients with 46 tumors.
Laryngoscope 1995, 105:115-126. PubMed Abstract |Publisher Full Text
5. Jansen JC, van den Berg R, Kuiper A, van der Mey AG, Zwinderman AH, Cornelisse CJ:Estimation of growth rate in patients with head and neck paragangliomas influences the treatment proposal.
Cancer 2000, 88:2811-2816. PubMed Abstract | Publisher Full Text
6. van den Berg R: Imaging and management of head and neck paragangliomas.
Eur Radiol 2005, 15:1310-1318. PubMed Abstract | Publisher Full Text
7. Kohler HF, Carvalho AL, Mattos Granja NV, Nishinari K, Kowalski LP: Surgical treatment of paragangliomas of the carotid bifurcation: results of 36 patients.
Head Neck 2004, 26:1058-1063. PubMed Abstract | Publisher Full Text
8. Kollert M, Minovi AA, Draf W, Bockmuhl U: Cervical paragangliomas-tumor control and long-term functional results after surgery.Skull Base 2006, 16:185-191. PubMed Abstract |Publisher Full Text |PubMed Central Full Text
9. Lim M, Gibbs IC, Adler JR Jr, Chang SD: Efficacy and safety of stereotactic radiosurgery for glomus jugulare tumors.
NeurosurgFocus 2004, 17:E11. PubMed Abstract | Publisher Full Text
10. Dall'Igna C, Antunes MB, Dall'Igna DP: Radiation therapy for glomus tumors of the temporal bone.
Braz J Otorhinolaryngol 2005, 71:752-757. PubMed Abstract | Publisher Full Text ]”