Abstract:
Jugular foramen syndrome (JFS) is a lower cranial neuropathy syndrome characterized by dysphonia and dysphagia. The syndrome is caused by dysfunction of the glossopharyngeal, vagus, and spinal accessory nerves at the level of the pars nervosa and pars vascularis within the jugular foramen. There are numerous etiologies for JFS, including malignancy, trauma, vascular, and infection. Here, we present the case of a healthy adult man who developed JFS secondary to an atypical presentation of Varicella Zoster meningitis, and was promptly diagnosed and treated with rapid symptom resolution. We diagnosed the patient using specialized skull-based imaging which detailed the jugular foramen, as well as CSF analysis. This case highlights the clinical value of detailed structural evaluation, consideration for infection in the absence of systemic symptoms, and favorable outcomes following early identification and treatment.
摘要:
颈静脉孔综合征(JFS)是一种以发音困难和吞咽困难为特征的下颅神经病变综合征。该综合征是由舌咽功能障碍引起的,迷走神经,颈静脉孔内神经管和血管部水平的脊髓副神经。JFS有许多病因,包括恶性肿瘤,创伤,血管,和感染。这里,我们介绍了一个健康的成年男子,他发展为继发于水痘带状疱疹脑膜炎的非典型表现的JFS,并得到及时诊断和治疗,症状迅速缓解。我们使用专门的颅骨成像对患者进行诊断,该成像详细说明了颈静脉孔,以及CSF分析。这个案例突出了详细的结构评估的临床价值,在没有全身症状的情况下考虑感染,以及早期识别和治疗后的良好结果。