Skip to main content
SpringerLink
Log in
Book cover

Microsurgical Anatomy and Surgery of the Posterior Cranial Fossa pp 277–297Cite as

Microsurgical Anatomy of and Surgical Approaches to the Jugular Foramen

  • Chapter
  • First Online:

Abstract

The jugular foramen (JF) is formed by the temporal and occipital bones. It is located inferomedial to the temporal bone, inferior to the internal auditory canal (IAC), lateral to the jugular tubercle, and anterosuperior to the jugular process [13, 14, 18, 31]. The jugular bulb, which connects the sigmoid sinus to the internal jugular vein, is situated in the JF, and the lower cranial nerves (CNs) pass through it. In addition, the meningeal branches of the ascending pharyngeal artery pass through the JF to enter the posterior cranial fossa after ascending between the internal carotid artery (ICA) and internal jugular vein. Because the JF opens on the intra- and extracranial sides, most tumors of the JF grow in these two directions [4, 12, 17, 24, 25, 32, 42, 43].

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Babu RP, Sekhar LN, Wright DC (1994) Extreme lateral transcondylar approach: technical improvements and lessons learned. J Neurosurg 81:49–59

    Article  CAS  PubMed  Google Scholar 

  2. Bertalanffy H, Seeger W (1991) The dorsolateral, suboccipital, transcondylar approach to the lower clivus and anterior portion of the craniocervical junction. Neurosurgery 29:815–821

    Article  CAS  PubMed  Google Scholar 

  3. Bruneau M, George B (2008) The juxtacondylar approach to the jugular foramen. Neurosurgery 62(Suppl 1):75–81

    Article  PubMed  Google Scholar 

  4. Bulsara KR, Sameshima T, Friedman AH, Fukushima T (2008) Microsurgical management of 53 jugular foramen schwannomas: lessons learned incorporated into a modified grading system. J Neurosurg 109:794–803

    Article  PubMed  Google Scholar 

  5. Cinibulak Z, Krauss JK, Nakamura M (2013) Navigated minimally invasive presigmoidal suprabulbar infralabyrinthine approach to the jugular foramen without rerouting of the facial nerve. Neurosurgery 73(1 Suppl Operative):ONS 3–15

    Google Scholar 

  6. Fisch U, Pillsburg HC (1979) Infratemporal fossa approach to lesions in the temporal bone and base of the skull. Arch Otolaryngol 105:99–107

    Article  CAS  PubMed  Google Scholar 

  7. Gardner G, Cocke EX, Robertson JT, Trumbull ML, Palmer RE (1977) Combined approach surgery for removal of glomus jugulare tumors. Laryngoscope 87:655–688

    Article  Google Scholar 

  8. George B, Lot G, Huy PTB (1995) The juxtacondylar approach to the jugular foramen (without petrous bone drilling). Surg Neurol 44:279–284

    Article  CAS  PubMed  Google Scholar 

  9. Hakuba A (1982) An anatomical and technical note for neurosurgery of the jugular foramen tumor. Neurol Surg 10:359–367 (in Japanese)

    CAS  Google Scholar 

  10. Hakuba A, Hashi K, Fujitani K, Ikuno H, Nakamura T, Inoue Y (1979) Jugular foramen neurinomas. Surg Neurol 11:83–94

    CAS  PubMed  Google Scholar 

  11. Heros RC (1986) Lateral suboccipital approach for vertebral and vertebrobasilar artery lesion. J Neurosurg 64:559–562

    Article  CAS  PubMed  Google Scholar 

  12. Kadri PA, AL-Mefty O (2004) Surgical treatment of dumbbell-shaped jugular foramen schwannomas. Neurosurg Focus 17:E9

    Google Scholar 

  13. Katsuta T, Matsushima T, Fukui M, Rhoton AL Jr (1998) Microsurgical anatomy of the jugular foramen, Surgical Anatomy for Microneurosurgery X. SciMed Publications Inc, Tokyo, pp 103–111 (in Japanese)

    Google Scholar 

  14. Katsuta T, Rhoton AL Jr, Matsushima T (1997) The jugular foramen: Microsurgical anatomy and operative approaches. Neurosurgery 41:149–202

    Article  CAS  PubMed  Google Scholar 

  15. Katsuta T, Rhoton AL Jr, Matsushima T (2004) Microsurgical Anatomy of the Jugular Foramen-with Special Reference to the Infratemporal Fossa Approach, Surgical Anatomy for Microneurosurgery XVI. SciMed Publications Inc, Tokyo, pp 131–136 (in Japanese)

    Google Scholar 

  16. Kawashima M, Matsushima T, Nakahara Y, Takase Y, Masuoka J, Ohata K (2009) Trans-cerebellomedullary fissure approach with special reference to lateral route. Neurosurg Rev 32:457–464

    Article  PubMed  Google Scholar 

  17. Kaye AH, Hahn JF, Kinney SE, Hardy RW, Bay JW (1984) Jugular foramen schwannomas. J Neurosurg 60:1045–1053

    Article  CAS  PubMed  Google Scholar 

  18. Kveton JF, Cooper MH (1988) Microsurgical anatomy of the jugular foramen region. Am J Otol 9:109–112

    CAS  PubMed  Google Scholar 

  19. Linn J, Peters F, Moriggl B, Naidich TP, Bruckmann H, Yousry I (2009) The jugular foramen: imaging strategy and detailed anatomy at 3 T. AJNR Am J Neuroradiol 30:34–41

    Article  CAS  PubMed  Google Scholar 

  20. Liu JK, Sameshima T, Gottfried ON, Couldwell WT, Fukushima T (2006) The combined transmastoid retro-and infralabyrinthine transjugular transcondylar transtubercular high cervical approach for resection of glomus jugulare tumors. Neurosurgery 59:115–125

    Article  Google Scholar 

  21. Matsushima K, Kawashima M, Matsushima T, Hiraishi T, Noguchi T, Kuraoka A (2014) Posterior condylar canals and posterior condylar emissary veins-a microsurgical and CT anatomical study. Neurosurg Rev 37:115–126

    Article  PubMed  Google Scholar 

  22. Matsushima K, Khono M, Komune N, Miki K, Matsushima T, Rhoton AL Jr (2014) Suprajugular extension of the retrosigmoid approach: Microsurgical anatomy. J Neurosurg 121: 397–407

    Article  PubMed  Google Scholar 

  23. Matsushima T (2006) Microsurgical Anatomy and Surgery of the Posterior Fossa. SciMed Publications Inc, Tokyo (in Japanese)

    Google Scholar 

  24. Matsushima T, Fukui M (1994) Jugular foramen tumors (2) Suboccipital craniectomy combined with infralabyrinthine approach through mastoidectomy to the jugular foramen schwannomas. In: Hakuba A, Yamaura A (eds) Surgery of Cranial Base. Standard and Modified Techniques. IGAKU-SHOIN Ltd, Tokyo, pp 331–336 (in Japanese)

    Google Scholar 

  25. Matsushima T, Hasuo K, Yasumori K, Yoshida K, Hirakata R, Fukui M, Masuda K (1989) Magnetic resonance imaging of jugular foramen neurinomas. Acta Neurochi 96:83–87

    Article  CAS  Google Scholar 

  26. Matsushima T, Katsuta T, Fukui M (2004) Chapter 8 In: Kawase T (ed) Jugular Foramen Tumors, Principles and Advances in Neurological surgery 7. Nakayama Shoten Co Ltd, Tokyo, pp 45–52 (in Japanese)

    Google Scholar 

  27. Matsushima T, Kawashima M, Inoue K, Matsushima K, Miki K (2014) Exposure of wide cerebellomedullary cisterns for vascular lesion surgeries in cerebellomedullary cisterns: Opening of unilateral cerebellomedullary fissures combined with lateral foramen magnum approach. World Neurosurg. doi:10.1016/j.wneu.2014.04.064

    Google Scholar 

  28. Matsushima T, Suzuki S (1992) Surgery of jugular foramen schwannomas-Dr. Masashi Fukui’s surgery. Neurosurg Lett 2:203–207 (in Japanese)

    Google Scholar 

  29. Oghalai JS, Leung MK, Jackler RK, McDermott MW (2004) Transjugular craniotomy for the management of jugular foramen tumors with intracranial extension. Otol Neurotol 25:570–579

    Article  PubMed  Google Scholar 

  30. Pellet W, Cannoni M, Pech A (1988) The widened transcochlear approach to jugular foramen tumors. J Neurosurg 69:887–894

    Article  CAS  PubMed  Google Scholar 

  31. Rhoton AL Jr, Buza R (1975) Microsurgical anatomy of the jugular foramen. J Neurosurg 42:541–550

    Article  PubMed  Google Scholar 

  32. Samii M, Babu RP, Tatagiba M, Sepehrnia A (1995) Surgical treatment of jugular foramen schwannomas. J Neurosurg 82:924–932

    Article  CAS  PubMed  Google Scholar 

  33. Samii M, Metwali H, Samii A, Gerganov V (2013) Retrosigmoid intradural inframeatal approach: indications and technique. Neurosurgery (Suppl Operative) 73:ONS 53–60

    Google Scholar 

  34. Sasaki T (1994) Surgical approaches to the tumors in and around the jugular foramen. Neurol Surg 22:1111–1118 (in Japanese)

    CAS  Google Scholar 

  35. Sasaki T (1994) Jugular foramen tumors. In: Hakuba A, Yamaura A (eds) Surgery of Cranial Base. Standard and Modified Techniques. IGAKU-SHOIN Ltd, Tokyo, pp 337–346 (in Japanese)

    Google Scholar 

  36. Sasaki T, Takakura K (1991) Twelve cases of jugular foramen neurinomas. Skull Base Surg 1:152–160

    Article  Google Scholar 

  37. Sekhar LN, Schramm VL Jr, Jones NF (1987) Subtemporal-preauricular infratemporal fossa approach to large lateral and posterior cranial base neoplasms. J Neurosurg 67:488–499

    Article  CAS  PubMed  Google Scholar 

  38. Sen C, Sekhar LN (1993) Extreme lateral transcondylar and transjugular approach. In: Sekhar LN, Janecka IP (eds) Surgery of Cranial Base Tumors. Raven, New York, pp 389–411

    Google Scholar 

  39. Seyfried DM, Rock JP (1994) The transcondylar approach to the jugular foramen: A comparative anatomic study. Surg Neurol 42:265–271

    Article  CAS  PubMed  Google Scholar 

  40. Tanghe H (2013) Imaging of the jugular foramen. Med Radiol. doi:10.1007/174_2013_818

    Google Scholar 

  41. Wen HT, Rhoton AL Jr, Katsuta T, Oliveira E (1997) Microsurgical anatomy of the transcondylar, supracondylar, and paracondylar extensions of the far-lateral approach. J Neurosurg 87:555–585

    Article  CAS  PubMed  Google Scholar 

  42. Yamakami I, Ono J, Yamaura A (1997) Jugular foramen neurinoma: Tumor location and clinical characteristics. Jpn J Neurosurg 6:369–376 (in Japanese)

    Google Scholar 

  43. Yamataki A, Fujitsu K, Fujii S, Mochimatsu Y, Kuwabara T (1986) Surgical approach for jugular foramen neurinoma-combined suboccipital and infralabyrinthine approach using a rotatable head holder. Neurol Surg 14:887–890 (in Japanese)

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Neurosurgery Faculty of Medicine, Saga University, Saga, Japan

    Toshio Matsushima

Authors
  1. Toshio Matsushima
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer Japan

About this chapter

Cite this chapter

Matsushima, T. (2015). Microsurgical Anatomy of and Surgical Approaches to the Jugular Foramen. In: Microsurgical Anatomy and Surgery of the Posterior Cranial Fossa. Springer, Tokyo. https://doi.org/10.1007/978-4-431-54183-7_20

Download citation

  • DOI: https://doi.org/10.1007/978-4-431-54183-7_20

  • Published:

  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-54182-0

  • Online ISBN: 978-4-431-54183-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation