Fig. 12.1 Leksell Gamma Knife Perfexion (Elekta AB, Norcross, GA) Developed by Lars Leksell in the mid-twentieth century, the Gamma Knife radiosurgical system utilizes a headframe apparatus (Fig. 12.2 )…
Fig. 10.1 38-year-old woman with a large jugular paraganglioma, intact lower cranial nerves, and excess dopamine and norepinephrine secretion resulting in arrhythmia (a, b). She underwent an aggressive subtotal resection…
A Tumor limited to middle ear space B Tumor limited to the middle ear or mastoid without involvement of the infralabyrinthine space of the temporal bone C Tumor involving infralabyrinthine…
Fig. 11.1 Otoendoscopic appearance of temporal bone paragangliomas. (a) Tympanic paraganglioma, (b) jugular paraganglioma, (c) facial paraganglioma A comprehensive diagnostic workup is necessary in the evaluation of a temporal bone…
Spell-related signs and symptoms Anxiety and fear of impending death Diaphoresis Dyspnea Epigastric and chest pain Headache Hypertension Nausea and vomiting Pallor Palpitation (forceful heartbeat) Tremor Chronic signs and symptoms…
© Springer International Publishing AG 2018George B. Wanna, Matthew L. Carlson and James L. Netterville (eds.)Contemporary Management of Jugular Paragangliomahttps://doi.org/10.1007/978-3-319-60955-3_16 16. Special Considerations in Management of Jugular Paraganglioma Jacob B. Hunter1 (1) Department of Otolaryngology-Head and Neck Surgery,…
Fig. 15.1 Oxidative phosphorylation and the electron transport chain. Succinate dehydrogenase (SDH) comprises complex II. Various mutations in SDH subunits have been implicated in hereditary paraganglioma syndromes These five enzyme…
© Springer International Publishing AG 2018George B. Wanna, Matthew L. Carlson and James L. Netterville (eds.)Contemporary Management of Jugular Paragangliomahttps://doi.org/10.1007/978-3-319-60955-3_13 13. Cranial Nerve VII Rehabilitation Austin Adams1, Alexander Langerman1 and Scott Stephan1 (1) Department of Otolaryngology, Vanderbilt University, 1215…
© Springer International Publishing AG 2018George B. Wanna, Matthew L. Carlson and James L. Netterville (eds.)Contemporary Management of Jugular Paragangliomahttps://doi.org/10.1007/978-3-319-60955-3_14 14. Rehabilitation of Speech and Swallow Alexander Gelbard1 and James L. Netterville2 (1) Department of Otolaryngology, Vanderbilt University Medical…
Fig. 5.1 Serial axial and coronal gadolinium enhanced T1-weighted MRI sequences of a right-sided JP demonstrating stable tumor size over the course of 10 years of observation The primary outcomes of…
