TY - JOUR
T1 - Jugular foramen syndrome as a complication of metastatic melanoma
AU - Schweinfurth, John M.
AU - Johnson, Jonas T.
AU - Weissman, Jane
PY - 1993
Y1 - 1993
N2 - Introduction: The jugular foramen (Vernet) syndrome with neuropathy of cranial nerves IX-XI is more commonly due to metastatic lesions than primary neoplasms. Hypoglossal nerve involvement is referred to as the Collet Sicard variant of the jugular foramen syndrome. Materials and Methods: We report an elderly man who presents with dysphagia, dysarthira, hoarseness, and a 12-pound weight loss. Examination demonstrated paralysis of the right vagus and hypoglossal nerve. Communication and collaboration with the radiologist resulted in identification of the lesion. Computed tomographic (CT) guided needle aspiration confirmed metastatic melanoma. Discussion: The onset of cranial neuropathy may allow the site of lesion to be predicted based on knowledge of the cranial base and neural anatomy. Diagnostic evaluation is tailored to evaluate the area in question. Active, multidisciplinary collaboration is assential for success.
AB - Introduction: The jugular foramen (Vernet) syndrome with neuropathy of cranial nerves IX-XI is more commonly due to metastatic lesions than primary neoplasms. Hypoglossal nerve involvement is referred to as the Collet Sicard variant of the jugular foramen syndrome. Materials and Methods: We report an elderly man who presents with dysphagia, dysarthira, hoarseness, and a 12-pound weight loss. Examination demonstrated paralysis of the right vagus and hypoglossal nerve. Communication and collaboration with the radiologist resulted in identification of the lesion. Computed tomographic (CT) guided needle aspiration confirmed metastatic melanoma. Discussion: The onset of cranial neuropathy may allow the site of lesion to be predicted based on knowledge of the cranial base and neural anatomy. Diagnostic evaluation is tailored to evaluate the area in question. Active, multidisciplinary collaboration is assential for success.
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U2 - 10.1016/0196-0709(93)90025-3
DO - 10.1016/0196-0709(93)90025-3
M3 - Article
C2 - 8338200
AN - SCOPUS:0027255893
SN - 0196-0709
VL - 14
SP - 168
EP - 174
JO - American Journal of Otolaryngology--Head and Neck Medicine and Surgery
JF - American Journal of Otolaryngology--Head and Neck Medicine and Surgery
IS - 3
ER -