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Jugular bulb diverticulum associated with lower cranial nerve palsy and multiple aneurysms
S Kobanawa1, M Atsuchi, J Tanaka
1Department of Neurosurgery, Kantou Rosai Hospital, Kawasaki, Japan.
Surgical Neurology
|August 15, 2000
Summary
This case report details the first known instance of jugular bulb diverticulum linked to lower cranial nerve palsy and multiple aneurysms. Prompt treatment led to full recovery, highlighting the importance of vigilant patient monitoring.
Area of Science:
- Neurology
- Vascular Surgery
- Otolaryngology
Background:
- Jugular bulb diverticulum is a rare condition.
- No prior reports link jugular bulb diverticulum to lower cranial nerve palsy.
Observation:
- A 54-year-old woman presented with acute swallowing difficulty and hoarseness.
- Neuroradiology revealed a jugular bulb diverticulum, ipsilateral internal carotid artery aneurysm, and basilar tip aneurysm.
- Cranial nerve palsy resolved within one month of steroid treatment.
Findings:
- This is the first documented case of jugular bulb diverticulum associated with lower cranial nerve palsy.
- The patient also had multiple unruptured aneurysms.
- Successful surgical clipping of aneurysms was performed.
Implications:
- Highlights a novel association between jugular bulb diverticulum and cranial nerve palsy.
- Suggests the need for close observation in patients with jugular bulb diverticulum, irrespective of initial symptoms.
- Emphasizes the importance of comprehensive vascular imaging in such cases.