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  • Title: Cerebellopontine angle meningioma with a high jugular bulb.
    Author: Akaishi K, Hongo K, Tanaka Y, Kobayashi S.
    Journal: J Clin Neurosci; 2001 Sep; 8(5):452-4. PubMed ID: 11535017.
    Abstract:
    A cerebellopontine angle meningioma originating from the skull base over a high jugular bulb is quite rare. We report a case of a 68-year-old woman who had a right cerebellopontine angle meningioma with a prominent high jugular bulb. CT and MRI revealed a round tumour which attached to a bony prominence over the high jugular bulb. The apex of the jugular bulb was 3 mm higher than the floor of the internal auditory canal. The tumour was removed via a suboccipital retrosigmoid approach. The bony projection was drilled off carefully using a diamond drill; the jugular bulb became visible through the thinned bone. When a meningioma of this type is removed including bony changes, special attention is needed to avoid injury to the jugular bulb.
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