Glomus Jugulare Tumor Presentation and Management: A Case Study

Mark C. Coles


J Neurosci Nurs. 2004;36(4) 

In This Article

Clinical Examination

Physical examination of the patient revealed a pleasant, cooperative female in no acute distress. Speech was normal to conversation. Gait and balance testing revealed a normal tandem walk and negative Romberg sign. There were no motor, sensory, or reflex deficits. Upper cranial nerve examination was unremarkable, the face was symmetrical at rest, and hearing was grossly normal. However, taste was diminished in the posterior third of the tongue, and gag reflex was diminished in the posterior pharynx on the left. Swallowing was grossly normal. There was no tongue atrophy. The palate and the uvula were in the midline, and the sternomastoids were strong. There was no evidence for Horner's syndrome. Otoscopically, the superior aspect of the lesion was visible as a purplish blush behind the left tympanic membrane. There was faint capillary distension in the inferior third of the tympanic membrane with otherwise normal landmarks.

The patient's medical and family history was unremarkable. She was taking no medications.