Glomus jugulare tumor presenting with intracerebellar hemorrhage

What is believed to be the first case of a glomus jugulare tumor presenting with intracerebellar hemorrhage is described. A 25-year-old normotensive m an suddenly suffered from severe headache, nausea, vomiting, vertigo, and a taxia due to an intracerebellar hemorrhage. Magnetic resonance imaging and angiography revealed a highly vascular jugulare foramen tumor extending int o the intracranial space adjacent to the hematoma. Total removal of the tum or was performed successfully via the combined pre- and retrosigmoid approa ch, and the histologic diagnosis was a glomus jugulare tumor. We concluded that one of the numerous draining veins on the surface of intracranial tumo r, which were observed during the operation, was the origin of the intracer ebellar hemorrhage.