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Updated: Aug 15, 2026
Surgical Treatment of an Endolymphatic Sac Tumor
Published on: May 26, 2023
[Diagnosis and treatment of paragangliomas in the central nerve system]
1Department of Neurosurgery, Huashan Hospital, Fudan University, Shanghai 200040, China. wjsongc@online.sh.cn
Objective:
To explore the diagnosis and treatment of paragangliomas in the central nerve system.
Methods:
17 patients with paragangliomas in the central nerve system over a 20-year period (1976-1999) were analyzed retrospectively. They included 11 patients with glomus jugular tumors, 1 with carotid body tumor, 1 with supersellar paraganglioma, 2 with spinal involvement, and 2 with superficial hemisphere involvement.
Results:
Neoplasm was completely resected in 11 patients, subtotally in 3, and partial in 3. The postoperative mortality was 1/17. One patient remained severe disability, yet the others had excellent long-time outcome.
Conclusions:
Both the characteristic clinical presentation and neuroradiological manifestation were useful for preoperative diagnosis. Total resection is ideal for paragangliomas. Preoperative embolization should be used routinely to control intraoperative bleeding, and postoperative radiation-therapy would be valuable to control the recurrence of the remaining tumor.
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