Question: A 72 year old woman presents to the emergency department following a syncopal episode. Due to concern for stroke like symptoms, CT and CTA of the neck are obtained. This demonstrates a right sided jugular foramen lesion. Follow up MRI is performed to better characterize the mass. Which of the following features would NOT be consistent with glomus jugulare (jugular paraganglioma)?

a) Intraluminal jugular bulb involvement

b) Superomedial vector of spread

c) Hypotympanic tumor

d) Intracranial extension

[Answer will be posted with next week's new question]

Answer to last week's question, “Gulp” (February 27, 2022)

D - Muscle tension dysphasia.