Atypical jugulotympanic paraganglioma presentation, diagnostic challenges, and role of imaging: A case report

BACKGROUND Jugular paragangliomas (JPGLs) are rare, slow-growing neuroendocrine tumors originating from the adventitia of the vessels in the jugular foramen. They typically present with pulsatile tinnitus, conductive hearing loss, and lower cranial nerve palsies. However, atypical presentations can delay diagnosis, especially in resource-limited settings. CASE SUMMARY We report the case of a 76-year-old woman with a long-standing history of right-sided hearing loss, intermittent chronic painless