Jugular Foramen Meningocele in a 37-Year-Old Saudi Woman with Neurofibromatosis Type I: A Clinical Case Report

Jugular foramen meningocele in Saudi female

Abstract

A 37-year-old woman presented with a five-year history of progressively worsening hearing loss in the right ear accompanied by pulsatile tinnitus. She also reported recurrent headaches described as dull and aching, typically lasting several hours and mainly affecting the right side of the head. There was no history of head trauma or previous surgical procedures, and the symptoms appeared without any identifiable precipitating factor. The patient denied experiencing visual disturbances, vertigo, dizziness, ear pain, nausea, or recurrent upper respiratory tract infections. General physical and neurological examinations were unremarkable, and no abnormalities were detected on systemic evaluation. Ophthalmological and otorhinolaryngological assessments also revealed no significant findings. Routine laboratory investigations were within normal limits and did not contribute to the diagnosis. Imaging evaluation revealed skeletal abnormalities including spinal meningocele and sphenoid wing dysplasia, findings consistent with Neurofibromatosis type I (NF1). Based on these radiological features, NF1 was diagnosed in this patient, an autosomal dominant neurocutaneous disorder known to be associated with various skeletal and neurological manifestations.