Dealing with the jugular foramen; a case of dumbbellschwannoma

A 57-year-oldpatient diagnosed witha right glomus jugularae was referred to the ENT unit TH/Anuradhapura for further management. Multi-disciplinary discussion and multi-modality imaging confirmed the diagnosis to be a jugular schwannoma. The Patient underwenttumour excision via a combined petro-occipital trans-sigmoidal approach withclose perioperative monitoring and post-operative rehabilitation.This article discusses the importance of a detailed history, examination and multimodality imaging for correct diagnosis of jugular foramen lesions which governs the selection of the surgical approach.