Jugular fossa tumors: Role of imaging

We review the anatomy of the jugular fossa in the context of current computed tomography and magnetic resonance techniques with examples of common and unusual presentations of these masses. Contrast-enhanced computed tomography and magnetic resonance imaging both can suggest etiology; define the size and full intracranial, transforaminal, and extracranial extent; and evaluate the regional anatomy to optimize surgical approach and minimize cranial nerve deficits. As inadequate exposure is a leading contributor to incomplete resection and recurrence, the ability to reformat high-resolution imaging in multiple planes is an asset to surgical planning.