Molony T B, Brackmann D E, Lo W W
Department of Otolaryngology, Ochsner Clinic, New Orleans, LA 70121.
Otolaryngol Head Neck Surg. 1992 Feb;106(2):128-36. doi: 10.1177/019459989210600202.
Meningiomas of the jugular foramen manifest the same signs and symptoms as glomus jugulare tumors. They arise from arachnoid cells lining the jugular bulb and grow slowly, infiltrating the temporal bone and posterior fossa. These lesions, however, are more clinically treacherous than glomus tumors. Meningiomas infiltrate surrounding bone and nerve tissue and require wide margins of resection to prevent recurrence. Eight of these lesions have been managed in the past 5 years at the House Ear Clinic using modern imaging and skull base techniques. Two have recurred after "total" microsurgical removal. Presentation, radiologic evaluation, and management guidelines are reviewed.
颈静脉孔脑膜瘤表现出与颈静脉球瘤相同的体征和症状。它们起源于颈静脉球内衬的蛛网膜细胞，生长缓慢，浸润颞骨和后颅窝。然而，这些病变在临床上比球瘤更具危险性。脑膜瘤浸润周围的骨和神经组织，需要广泛的切除边缘以防止复发。在过去5年里，豪斯耳科诊所使用现代影像学和颅底技术处理了8例此类病变。其中2例在“全”显微手术切除后复发。本文回顾了其临床表现、影像学评估和治疗指南。
