An overview of definition and approaches to jugular fossa tumors.

Jugular foramen has a complex anatomy composed by occipital and temporal bone. It is divided in two segments: (1) Pars nervousa (2) Pars vascularis. Jugular foramen tumors are the rare group of brain lesions which their management and surgical approaches are the challenging debate in skull base neurosurgery. Although the most prevalent tumor arising in this area is paraganglioma, the range of tumor diversity can be seen this region. Surgery of jugular foramen tumors is a complicated procedure due to the complex regional anatomy and presence of crucial structures. We explain the jugular fossa lesions classification, their related syndromes and detailed aspects of available surgical techniques at this paper. The main aim of the surgery is maximal safe resection along with preserving the highest level of neurological function. Multidisciplinary approach that involves teamwork cooperation of neurosurgeons, otorhinolaryngologist and endovascular interventionist is the novel concept in surgical planning can improve surgical outcome and increase patient consent. The main aim of this manuscript is to explain a variety of approaches for successful resection of the tumors in this complex anatomical region.