Carotid glomus neurosurgical and neurophysiological monitoring. Report of two cases
Armando Romero-Pérez, Ana Dominguez-Merino, Rodrigo González-Méndez, Luis Angel Haro-Santillan
Abstract
Glomus-type tumors are rare neoplasms, representing 0.012% of all tumors worldwide with a median presentation between the fourth and fifth the decade of life. Most of the cases (90%) have sporadic presentation, with only 10% related to family history. Their location varies, with the minority at the head and neck. They present as a slow-growing mass at the neck accompanied or not by pain and symptoms due to compression of adjacent structures such as dysphagia, dysphonia or even dyspnea. In the present work, 2 cases of Shamblin III carotid glomus are reported, both treated surgically. Two different approaches were performed in each patient due to the characteristics and invasion of each one. Both procedures were monitored neurophysiologically. Currently, the patients are stable without the presence of neoplasia with mild to moderate neurological sequelae. As it is a rare neoplasm, there are no standardized guidelines for diagnostic and therapeutic approach, however surgical resection must be considered as the first line treatment, as in the reported cases.
Keywords
References
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Submitted date:
01/08/2026
Reviewed date:
01/16/2026
Accepted date:
01/23/2026
Publication date:
03/24/2026
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