Tuesday, 21 September 2010

MRCP revision battle 17.2: Jugular foramen syndrome

Jugular foramen syndrome, also known as Vermet's Syndrome, is a condition arising from the compression of the cranial nerves that run through the jugular foramen.

Now just in case they aren't quite on the tip of your tongue, the nerves that run through the jugular foramen are IX, X and XI.

The syndrome is therefore characterised by:
  • loss of taste to posterior 1/3 of tongue (CN IX)
  • dysphagia (CN X)
  • sternocleidomastoid and trapezius paralysis (CN XI)

Anything that compresses the jugular foramen can cause this syndrome.  The commonest cause is a paraganglioma.

Now we've acquired a bit more esoteric MRCP knowledge, lets gallop on to discover some details about thyroid cancer...