J Neurol Surg Rep 2012; 73(01): 014-018
DOI: 10.1055/s-0032-1301406
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Jugular Foramen Syndrome as Initial Presentation of Metastatic Lung Cancer

Dustin Hayward
1   Department of Neurological Surgery, Loyola University Medical Center, Maywood, Illinois
,
Christopher Morgan
2   Department of Neurology, Loyola University Medical Center, Maywood, Illinois
,
Bahman Emami
3   Department of Radiation Oncology, Loyola University Medical Center, Maywood, Illinois
,
Jose Biller
2   Department of Neurology, Loyola University Medical Center, Maywood, Illinois
,
Vikram C. Prabhu
3   Department of Radiation Oncology, Loyola University Medical Center, Maywood, Illinois
› Author Affiliations
Further Information

Publication History

08 September 2011

23 September 2011

Publication Date:
17 February 2012 (online)

Abstract

Metastatic involvement of the cranial base and jugular foramen generally presents with headache and lower cranial neuropathy but may escape early diagnosis. In this report, a patient developed a jugular foramen syndrome as the initial presentation of metastatic lung cancer soon after being diagnosed and treated surgically for extracranial atherosclerotic internal carotid artery disease. With the appropriate diagnosis established, he underwent local fractionated radiation therapy and systemic chemotherapy but succumbed to the disease. This report analyses metastatic disease affecting the cranial base and in particular, the jugular foramen, with a discussion of the clinical syndromes that accompany this rare condition.

 
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