Jugular foramen syndrome.

K T Robbins; R S Fenton

Home/Archive/PubMed

PubMed · 7206037

Jugular foramen syndrome.

K T Robbins·R S Fenton

View original source ↗Export metadata ↓

Abstract

The jugular foramen syndrome (JFS) specifically refers to paralysis to the IX-XIth cranial nerves. In a more general meaning, however, any combination of palsies affecting the last four cranial nerves has been referred to as a JFS. The anatomy of the jugular foramen and the structures which traverse it are reviewed. Two cases histories of a JFS are described; the first with chronic otitis media, and the second with a glomus tumor. A variety of neoplasms, vascular insults, infections, and trauma have been reported to cause JFS. Treatment is directed toward the underlying cause. A variety of radiological techniques which are useful in the investigation of JFS are outlined.

Explore related subjects

Accessory Nerve Adult Aged Cranial Nerves Female Glomus Jugulare Tumor Glossopharyngeal Nerve Humans Lymphadenitis Male Otitis Media Paralysis Syndrome Vagus Nerve Vascular Diseases Wounds and Injuries Case Reports Journal Article

Keep this discovery

Explore connections, maps & timelines

BibTeX RIS

K T Robbins, R S Fenton. 1980. Jugular foramen syndrome.. https://pubmed.ncbi.nlm.nih.gov/7206037/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed2007

[High duplication of an internal jugular vein].

The internal jugular vein is an important landmark in most cervical operations. The surgeon should know the exact position and possible variations to prevent complications. We report on a duplicated internal jugular vein, which is a rare anatomic anomaly and discuss aetiology and appearance of this malformation and the possible affecting of the accessory nerve.

Accessory Nerve↗

PubMed2007

Re-examination of the medullary rootlets of the accessory and vagus nerves.

The vagus (X) and cranial root of the accessory nerve (crXI) are traditionally described as arising from a series of rootlets from the medulla oblongata. Descriptions of the number of rootlets vary, and the existence of the crXI is contested. Here we report the results of dissections in six embalmed adult human specimens (11 sides). The rootlets forming the vagus were counted at three positions. At emergence from the brainstem there were between 12 and 21 rootlets, at the jugular foramen the range was 12-17, and midway between these two points it was 6-12. In addition, the origin of the most caudal X rootlet (cX) and the most rostral XI rootlet (rXI) was recorded in relation to the spino-medullary junction, defined as the caudal border of the olivary eminence. The position of the cX varied between -1 and +8 mm (median = +2 mm on left, +3.75 mm on right). The rXI varied between -5 and +7 mm (median = -0.5 mm on left, +1.75 mm on right). In five sides, rXI was above the caudal border of the olivary eminence and as such can be defined as being of cranial origin. These observations show the arrangement of rootlets contributing to the vagus to be more complex than what was described previously and provide evidence for the variable existence of a cranial root of the accessory nerve.

Accessory Nerve↗

PubMed2007

Posterior approach technique for accessory-suprascapular nerve transfer: a cadaveric study of the anatomical landmarks and number of myelinated axons.

Accessory-suprascapular nerve transfer by the anterior supraclavicular approach technique was suggested to ensure transferrance of the spinal accessory nerve to healthy recipients. However, a double crush lesion of the suprascapular nerve might not be sufficiently demonstrated. In that case, accessory-suprascapular nerve transfer by the posterior approach would probably solve the problem. The aim of this study was to evaluate the anatomical landmarks and histomorphometry of the spinal accessory and suprascapular nerve in the posterior approach. Dissection of fresh cadaveric shoulder in a prone position identified the spinal accessory and suprascapular nerve by the trapezius muscle splitting technique. After that, nerves were taken for histomorphometric evaluation. The spinal accessory nerve was located approximately halfway between the spinous process and conoid tubercle. The average distance from the conoid tubercle to the suprascapular nerve (medial edge of the suprascapular notch) is 3.3 cm. The mean number of myelinated axons of the spinal accessory and suprascapular nerve was 1,603 and 6,004 axons, respectively. The results of this study supported the brachial plexus reconstructive surgeons, who carry out accessory-suprascapular nerve transfer by using the posterior approach technique. This technique is an alternative for patients who have severe crushed injury of the shoulder or suspected double crush lesion of the suprascapular nerve.

Accessory Nerve↗