OBJECTIVE: To tell to a case of paraganglion jugulo-tympanic right for the rarity, diagnostic and therapeutical difficulty. CASE REPORT: I.G.F. 61 years, feminine sex, with complaint of pulsatile tinnitus unilateral associate the right unilateral hypoacusia has 4 years and right otorragy has 5 days. It denies alterations of cranial pairs. Personal antecedent of depression, fibromyalgia and systemic arterial hypertension. It denies familiar antecedents. Normal left Otoscopy, to the visualized right otorragy and a mass made blue pulsatile in external auditory conduit hindering the visualization of eardrum membrane. Cranial pairs without alterations to the propaedeutic. Nasofibrolaringoscopy did not evidence anatomical or functional alterations. Computerized tomography presented injury of high density in all right average ears with hypoeardrum osseous wooden floor erosion and widening of foramen jugular vein the right. Chain to ossicular, tégmen eardrum and complete spur of Chaussé. Audiometry discloses mixing hearing loss to the right. Opted to the surgical treatment which had the data of literature to tell to little reply the radiotherapy treatment and to the active bleed. Carried through arteriography with occlusion of internal carotid artery for balloon and posterior embolization of the tumor 24 hours before the surgical boarding. The surgery occurred with important bleed in the liquoric intra-operative and fistula which had been controlled. Patient intubated in the PO1 evolving with dysphagia and complete peripheral face paralysis. CONCLUSION: Paragangliomas are neoplasias whose treatment standard is surgical, dependent of anatomical knowledge, capacity technique and extreme care of the surgeon in the removal of the tumor entirely, minimizing damages to the sick person. The therapeutical one for x-ray is controversy in literature.