Tumors of the Jugular Foramen
This book covers all aspects of the diagnosis and treatment of tumors of the jugular foramen – cranial base lesions that present particular diagnostic and management difficulties and remain challenging to remove despite advances in surgery and interventio
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Tumors of the Jugular Foramen
Ricardo Ramina • Marcos Soares Tatagiba
Tumors of the Jugular Foramen
Ricardo Ramina, MD, PhD
Chairman of the Neurosurgical Department Neurological Institute of Curitiba Curitiba, Brazil
Marcos Soares Tatagiba, MD, PhD Chairman of the Neurosurgical Department Eberhard Karls University Tübingen, Germany
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Library of Congress Control Number: 2016949462 © Springer International Publishing Switzerland 2017 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
This book is dedicated to our patients. Every patient teaches us something. Something that we are ought to use to help new patients.
Foreword
The jugular foramen is a special anatomical area of the skull base. It contains the jugular bulb and the vein and the lower cranial nerves 9, 10, and 11. In addition, the cranial nerves 12, and 7, the petrous internal carotid artery, the spino-medullary area, and the cerebrospinal fluid containing intradural space lie close to it. The bony and cartilaginous structures of the craniocervical junction also lie in the vicinity. Because of the importance of the jugular vein (particularly when it is dominant), the lower cranial nerves, and the critical structures which are nearby, surgery of lesions involving the jugular foramen is complicated, and fraught with morbidity, which may lead to major disability or death. Due to this reason, lesions of this area should be treated in specialized centers and by experienced surgical—endovascular—intensive care teams. Such lesions include neoplasms such as paraganglioma, meningioma, chordoma, chondrosarcoma, schwannoma, and met
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