Zaniyani Fatemeh Riyahi, Khoshnevisan Alireza
Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Langenbecks Arch Surg. 2025 Jul 1;410(1):207. doi: 10.1007/s00423-025-03794-6.
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.
颈静脉孔具有由枕骨和颞骨构成的复杂解剖结构。它分为两个部分：（1）神经部（2）血管部。颈静脉孔肿瘤是一类罕见的脑部病变，其治疗和手术入路是颅底神经外科中具有挑战性的争论焦点。尽管该区域最常见的肿瘤是副神经节瘤，但在这个区域可以看到肿瘤的多样性。由于该区域解剖结构复杂且存在关键结构，颈静脉孔肿瘤的手术是一个复杂的过程。在本文中，我们解释了颈静脉窝病变的分类、其相关综合征以及现有手术技术的详细方面。手术的主要目标是在保留最高水平神经功能的同时进行最大程度的安全切除。涉及神经外科医生、耳鼻咽喉科医生和血管内介入专家团队合作的多学科方法是手术规划中的新概念，可改善手术结果并提高患者的接受度。本手稿的主要目的是解释在这个复杂解剖区域成功切除肿瘤的各种方法。
