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Evidence-Based Treatment, Surgical Indications, Contra-indications, Preoperative Clinical Evaluation, and Preoperative Preparation for Anesthesia

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Tumors of the Jugular Foramen

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Abstract

Many tumors affect the jugular foramen and may require different therapeutic modalities. Evaluation of evidence-based treatments for jugular foramen tumors should take into account various management possibilities such as clinical observation, surgical removal, radiotherapy, and radiosurgery. Clinical observation may be indicated in elderly patients with benign tumors. Radiotherapy/radiosurgery as initial treatment may be recommended to patients with small tumors. Surgical removal should achieve better results than the natural evolution of the disease. Indication for surgery is based on patients and tumor factors. Clinical condition of patient, grade of lower cranial nerves involvement, age, comorbidities, life expectancy, tumor type, tumor size, tumor extension, and grade of internal carotid involvement are the main factors to indicate surgery. Grade of tumor resection varies according to the involvement of cranial nerves, internal carotid artery, and histology of the tumor. Preoperative evaluation includes comprehensive otolaryngologic, neurological and neuroradiological examinations. Preparation for anesthesia follows the general and neuroanesthetic principles with special pre- and postoperative care of lower cranial nerves function.

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Authors and Affiliations

  1. Chairman of the Neurosurgical Department, Neurological Institute of Curitiba, Curitiba, Brazil

    Ricardo Ramina MD, PhD

  2. Chairman of the Neurosurgical Department, Eberhard Karls University, Tübingen, Germany

    Marcos Soares Tatagiba MD, PhD

Authors
  1. Ricardo Ramina MD, PhD
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  2. Marcos Soares Tatagiba MD, PhD
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Ramina, R., Tatagiba, M.S. (2017). Evidence-Based Treatment, Surgical Indications, Contra-indications, Preoperative Clinical Evaluation, and Preoperative Preparation for Anesthesia. In: Tumors of the Jugular Foramen. Springer, Cham. https://doi.org/10.1007/978-3-319-43368-4_7

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  • DOI: https://doi.org/10.1007/978-3-319-43368-4_7

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-43366-0

  • Online ISBN: 978-3-319-43368-4

  • eBook Packages: MedicineMedicine (R0)

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