Jugular Foramen Meningioma
A 67-year-old woman with a history of hyperlipidemia and depression presented with acute onset vertigo, imbalance, and right pulsatile tinnitus. On physical examination, she was noted to have a wide-based gait that veered to the left during walking. Computed tomography (CT) and magnetic resonance imaging (MRI) of the brain revealed no evidence of a stroke, but a right-sided jugular foramen mass was identified (Fig. 1). Serum metanephrines and normetanephrines were not elevated. Her presenting symptoms gradually improved, and currently she only has mild ataxia and nonspecific cognitive complaints including word-finding difficulty and short-term memory loss.