• Hussam Abou-Al-Shaar, Yair M Gozal, Jason P Hunt, Clough Shelton, Lyska L Emerson, Evan Joyce, and William T Couldwell.
• 1Department of Neurosurgery, Clinical Neurosciences Center.
• J. Neurosurg. 2019 Jul 1; 131 (1): 109113109-113.

AbstractJugular foramen cavernous hemangiomas are extremely rare vascular malformations, and, to the best of the authors' knowledge, their occurrence as multifocal lesions involving both intra- and extracranial compartments has never been reported before. Here, the authors describe the case of a 60-year-old woman with a complex multifocal jugular foramen cavernous hemangioma. The patient presented with signs and symptoms concerning for jugular foramen syndrome, as well as a right neck mass. Surgical extirpation of the lesion was achieved by a multidisciplinary team via a right infratemporal fossa approach (Fisch type A) with concurrent high neck dissection and a closure buttressed with an autologous fat graft and a temporoparietal fascial flap. Although rare, cavernous hemangiomas should be included in the differential diagnosis of jugular foramen masses.

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