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March 1980

Glomus Jugulare and Hereditary Hemorrhagic Telangiectasia

Author Affiliations

From the Department of Otorhinolaryngology, University of Michigan, Ann Arbor.

Arch Otolaryngol. 1980;106(3):182-186. doi:10.1001/archotol.1980.00790270046011

PRESENTATION OF A CASE  Robert Brooks, MD: A 27-year-old woman began experiencing a persistent pounding tinnitus in her right ear in 1969. This was accompanied by intermittent dizziness, earache, occipital headache, and a progressive hearing loss. She was first referred to an otolaryngologist in June 1971. She manifested a red mass distorting the right eardrum, paralysis of the right 12th cranial nerve, and an associated 50-dB conductive hearing loss. Polytomographic studies of the temporal bones at the time confirmed the presence of a large destructive process involving the middle ear, jugular fossa, and the hypoglossal canal on the right. A retrograde jugular venogram demonstrated a mass extending as low as the second cervical vertebra. The patient was treated in 1971 with a course of cobalt irradiation with a central dose totaling 6,500 rads. She experienced a transient remission in her dizziness and tinnitus following radiation therapy. When seen six months

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