Glomus Jugulare Tumors With Intracranial Extension

C. Gary Jackson, MD; David M. Kaylie, MD; George Coppit, MD; Edward K. Gardner, MD

Disclosures

Neurosurg Focus. 2004;17(2) 

In This Article

Results

The reconstruction protocol changed substantially in 1987, and the results prior to this have been previously reported.[10] The following results are derived from surgeries for tumors with intracranial extension and for those resulting in dural defects between January 1, 1987, and December 31, 2003.

Twenty-two patients had tumors with intracranial extension and 29 had tumors resulting in dural defects with out intracranial extension. The tumors with intracranial extension ranged from 1.5 to 7 cm, with a mean size of 4.3 cm. The intracranial component ranged from 0.3 to 4 cm and its mean size was 1.6 cm. Tumors with dural defects but no intracranial extension ranged from 1.9 to 5 cm, with a mean size of 3.4 cm. Multicentric tumors were seen in 9% of all patients. Subtotal resection occurred in 11% of patients with intracranial extension.

Follow-up duration ranged from 9 to 76 months (mean 36 months). Sixteen patients required a dural patch in addition to the surgical defect reconstruction. All patients underwent lumbar drainage for 5 to 7 days. Other complications included aspiration in seven patients, abscess and meningitis in two each, and pseudomeningocele, first bite, and skin necrosis in one each. A CSF leak was seen in three patients (6%), one of whom had CSF rhinorrhea, which was fixed by oversewing the eustachian tube. The other two patients had CSF collections in the neck, one as the result of a wound abscess. There were no deaths in this group.

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