Vertigo revealing a jugular foramen paraganglioma extended to the cerebellopontine angle

Jugular foramen paraganglioma (JFP) is a rare, slow-growing and hypervascularized benign tumor. It is generally present in the 5th or 6th decades of life with pulsatile tinnitus and hearing loss. We reported a 71-years-old woman patient with several episodes of Vertigo evolving for few months. Otoscopy revealed a red bulging left sided tympanic membrane. Magnetic resonance imaging (MRI) of the brain showed findings consistent with a large paraganglioma in the left jugular foramen extended to the cerebellopontine angle (CPA). The patient was treated with fractionated stereotactic radiotherapy. JFP should be suspected in a case of vertigo with or without involvement of other cranial nerves.