Contemporary management of jugular paragangliomas

Otolaryngol Clin North Am. 2015 Apr;48(2):331-41. doi: 10.1016/j.otc.2014.12.007.


Jugular paragangliomas are generally benign slow-growing tumors that can cause pulsatile tinnitus, hearing loss, and cranial nerves neuropathy. Progressive growth can also lead to intracranial extension. Historically, the treatment of choice for these lesions has been gross total resection. However, over the last 15 years, many groups have adopted less invasive management strategies including stereotactic radiation therapy, subtotal resection, and primary observation in order to reduce treatment-associated morbidity. The focus of this article is to review the modern management of jugular paraganglioma, highlighting the evolving treatment paradigm at the Otology Group of Vanderbilt.

Keywords: Carotid artery; Cranial nerves; Glomus tumor; Jugular foramen; Jugular paraganglioma.

Publication types

  • Review

MeSH terms

  • Cranial Nerve Diseases / complications*
  • Disease Management*
  • Genetic Testing
  • Glomus Jugulare Tumor / classification
  • Glomus Jugulare Tumor / diagnosis*
  • Glomus Jugulare Tumor / surgery*
  • Humans
  • Magnetic Resonance Imaging
  • Microsurgery
  • Radiosurgery
  • Tomography, X-Ray Computed