An unusual case of simultaneous left glomus vagale, jugulare and tympanicum tumor
Salah Bellasri, Mounir Hmidi
The Pan African Medical Journal. ;26:241. doi:10.11604/pamj..26.241.11760

Create an account  |  Sign in
PAMJ - Clinical Medicine PAMJ - Clinical Medicine
"Better health through knowledge sharing and information dissemination "

Images in clinical medicine

An unusual case of simultaneous left glomus vagale, jugulare and tympanicum tumor

Salah Bellasri, Mounir Hmidi
Pan Afr Med J. 2017; 26:241. doi:10.11604/pamj.2017.26.241.11760. Published 27 Apr 2017

A 49-year-old male who attended our hospital due to a history of left hearing loss over a period of 2 years, associated to otalgia, and vertigo to which bleeding in the left ear and facial paralysis had been added in the last 4 months. He reported the simultaneous onset of a left-sided neck swelling with slow growing. After this, he developed loss of sensation of taste on the posterior third of the tongue and swallowing dysfunction, dysphonia, atrophy of the trapezius and sternocleidomastoid muscle and deviation and atrophy of tongue toward the affected side. On physical examination, the mass was found to be painless, soft, pulsating and semifixed. During the otoscopic examination, a pulsatile erythematous lesion of vascular appearance was noted in the external auditory canal. The audiometric test revealed severe left mixed hearing loss. A Doppler ultrasound was performed, which revealed a hypervascularized tumor in the left-sided neck that extended to the skull base. An axial and coronal computerized tomography (CT) scan was taken, revealing a soft tissue lesion extending from the border of II and III neck region to the middle ear and external auditory canal, causing large jugular bulb, hypoglossal canal and temporal bone erosion. This mass avidly enhanced after CT angiography. Following the results of preoperative examinations, diagnosis of simultaneous left glomus vagale, jugulare and tympanicum was confirmed. As the tumor was unresectable, the patient received fractionated radiotherapy associated with iterative stereotactic radio surgery. The patient has been stable over the last two years.

Corresponding author:
Salah Bellasri, Medical Imaging Department, Military Hospital, University Mohammed V, Rabat, Morocco

©Salah Bellasri et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

More images in clinical medicine


PAMJ Images in Medicine and Public Health are archived on Pubmed Central. Access PAMJ archives on PMC here

Volume 34 (September - December 2019)

This image

Share this image:

Filter images [Reset filter]

By language

PAMJ is published in collaboration with the African Field Epidemiology Network (AFENET)
Currently tracked by: DOAJ, AIM, Google Scholar, AJOL, EBSCO, Scopus, Embase, IC, HINARI, Global Health, PubMed Central, PubMed/Medline, Ulrichsweb, More to come . Member of COPE.

ISSN: 1937-8688. © 2019 - Pan African Medical Journal. All rights reserved