{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T08:28:08Z","timestamp":1790065688044,"version":"4.0.1"},"reference-count":34,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","license":[{"start":{"date-parts":[[2023,8,7]],"date-time":"2023-08-07T00:00:00Z","timestamp":1691366400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,8,7]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>A glomus vagale tumor is an infrequent paraganglioma primarily characterized by auditory symptoms, cranial nerve involvement, or autonomic symptoms. However, visual involvement is not commonly observed, and to date, no cases have been reported in the literature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>The case involves a 62-year-old female patient with a history of right carotid body tumor resection. She presented to the emergency department with a sudden decrease in visual acuity and bitemporal hemianopsia, accompanied by a left parietal headache. Initial brain magnetic resonance imaging (MRI) revealed a pituitary macroadenoma, which was completely resected. However, postoperatively, the patient developed left amaurosis. Subsequent brain MRI showed the presence of hemostatic material mixed with blood in the sellar region, causing displacement of the optic chiasm. A repeat intervention was performed, identifying bleeding from both cavernous sinuses. Head and neck angiography demonstrated a right glomus vagale tumor with abundant blood drainage into the right cavernous sinus. Embolization of the glomus vagale tumor was performed, resulting in no further bleeding and improvement of symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>The aim of this case report is to describe a rare occurrence of bilateral visual disturbances caused by bleeding in both cavernous sinuses due to venous hypertension caused by a right glomus vagale tumor.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case23145","type":"journal-article","created":{"date-parts":[[2023,8,8]],"date-time":"2023-08-08T10:11:42Z","timestamp":1691489502000},"source":"Crossref","is-referenced-by-count":1,"title":["Bilateral visual disturbances caused by a glomus vagale: illustrative case"],"prefix":"10.3171","volume":"6","author":[{"given":"Enrique","family":"Jimenez Hakim","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Fundacion Santa Fe de Bogot\u00e1, Bogot\u00e1, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis","family":"Garcia Rairan","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Universidad El Bosque, Bogot\u00e1, Colombia; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julian","family":"Guzman","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Universidad del Norte, Bogot\u00e1, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yessid","family":"Araque","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Fundacion Santa Fe de Bogot\u00e1, Bogot\u00e1, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"8","key":"b1","series-title":"Head Neck","first-page":"1195","article-title":"Jugular and vagal paragangliomas: systematic study of management with surgery and radiotherapy","volume":"35","author":"Su\u00e1rez C","year":"2013","unstructured":"Su\u00e1rez C, Rodrigo JP, B\u00f6deker CC,  Jugular and vagal paragangliomas: systematic study of management with surgery and radiotherapy. Head Neck. 2013;35(8):1195\u20131204.22422597"},{"issue":"2","key":"b2","series-title":"Otolaryngol Clin North Am","first-page":"331","article-title":"Contemporary management of jugular paragangliomas","volume":"48","author":"Wanna GB","year":"2015","unstructured":"Wanna GB, Sweeney AD, Haynes DS, Carlson ML. Contemporary management of jugular paragangliomas. Otolaryngol Clin North Am. 2015;48(2):331\u2013341.25769354"},{"key":"b3","series-title":"Ann Med Surg (Lond)","first-page":"102918","article-title":"An unusual combined glomus vagale and jugular tumor: a case report","volume":"70","author":"Youssef O","year":"2021","unstructured":"Youssef O, Bushra A, Meryem R,  An unusual combined glomus vagale and jugular tumor: a case report. Ann Med Surg (Lond). 2021;70:102918.34691440"},{"issue":"2","key":"b4","series-title":"Neurosurg Rev","first-page":"185","article-title":"Jugular foramen paragangliomas: management, outcome and avoidance of complications in a series of 75 cases","volume":"35","author":"Makiese O","year":"2012","unstructured":"Makiese O, Chibbaro S, Marsella M, Tran Ba Huy P, George B. Jugular foramen paragangliomas: management, outcome and avoidance of complications in a series of 75 cases. Neurosurg Rev. 2012;35(2):185\u2013194, discussion 194."},{"issue":"2","key":"b5","series-title":"Interv Neuroradiol","first-page":"145","article-title":"Preoperative embolization of jugular paraganglioma tumors using particles is safe and effective","volume":"28","author":"Helal A","year":"2022","unstructured":"Helal A, Vakharia K, Brinjikji W,  Preoperative embolization of jugular paraganglioma tumors using particles is safe and effective. Interv Neuroradiol. 2022;28(2):145\u2013151.34034540"},{"key":"b6","series-title":"StatPearls [Internet]","article-title":"Glomus jugulare","author":"Fernandez T","year":"2023","unstructured":"Fernandez T. Glomus jugulare. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023. Accessed March 18, 2023. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK560489\/"},{"key":"b7","series-title":"BMJ Case Rep","article-title":"Dural arteriovenous fistula associated with a glomus jugulare tumour presenting with only pulsatile tinnitus","volume":"2018","author":"Darvie P","year":"2018","unstructured":"Darvie P, Storey C, Nanda A, Cuellar-Saenz H. Dural arteriovenous fistula associated with a glomus jugulare tumour presenting with only pulsatile tinnitus. BMJ Case Rep. 2018;2018:bcr-2018-224860.29866688"},{"key":"b8","series-title":"Tumori","first-page":"225","article-title":"Multidisciplinary approach in the treatment of malignant paraganglioma of the glomus vagale: a case report","volume":"97","author":"Milia ME","year":"2018","unstructured":"Milia ME, Turri L, Beld\u00ec D, Deantonio L, Pareschi R, Krengli M. Multidisciplinary approach in the treatment of malignant paraganglioma of the glomus vagale: a case report. Tumori. 2018;97(2):225\u2013228."},{"issue":"2","key":"b9","series-title":"Indian J Otolaryngol Head Neck Surg","first-page":"157","article-title":"Glomus jugulare","volume":"49","author":"Ravikumar A","year":"1997","unstructured":"Ravikumar A, Suryanarayana KV. Glomus jugulare. 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Tumori. 2018;97(2):225\u2013228."},{"issue":"2","key":"b9","series-title":"Indian J Otolaryngol Head Neck Surg","first-page":"157","article-title":"Glomus jugulare","volume":"49","author":"Ravikumar A","year":"1997","unstructured":"Ravikumar A, Suryanarayana KV. Glomus jugulare. Indian J Otolaryngol Head Neck Surg. 1997;49(2):157\u2013159.23119285"},{"key":"b10","series-title":"Case Rep Otolaryngol","first-page":"8756940","article-title":"Growth rate analysis of an untreated glomus vagale on MRI","volume":"2016","author":"Wang JTY","year":"2016","unstructured":"Wang JTY, Wang AYY, Cheng S, Gomes L, Da Cruz M. Growth rate analysis of an untreated glomus vagale on MRI. 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