Clival chordoma with an atypical presentation: a case report.


Autoria(s): Alshammari J.; Monnier P.; Daniel R.T.; Sandu K.
Data(s)

2012

Resumo

INTRODUCTION: Clival chordomas present with headache, commonly VI cranial nerve palsy or sometimes with lower cranial nerve involvement. Very rarely, they present with cerebrospinal fluid rhinorrhoea due to an underlying chordoma-induced skull base erosion. CASE PRESENTATION: A 60-year old Caucasian woman presented with meningitis secondary to cerebrospinal fluid rhinorrhoea. At first, radiological imaging did not reveal a tumoral condition, though intraoperative exploration and tissue histology revealed a chordoma which eroded her clivus and had a transdural extension. CONCLUSION: Patients who present with meningitis and cerebrospinal fluid rhinorrhoea could have an underlying erosive lesion which can sometimes be missed on initial radiological examination. Surgical exploration allows collecting suspicious tissue for histological diagnosis which is important for the actual treatment. A revision endoscopic excision of a clival chordoma is challenging and has been highlighted in this report.

Identificador

https://serval.unil.ch/?id=serval:BIB_E8AAE3D544FF

isbn:1752-1947 (Electronic)

pmid:23194159

doi:10.1186/1752-1947-6-410

http://my.unil.ch/serval/document/BIB_E8AAE3D544FF.pdf

http://nbn-resolving.org/urn/resolver.pl?urn=urn:nbn:ch:serval-BIB_E8AAE3D544FF4

Idioma(s)

en

Direitos

info:eu-repo/semantics/openAccess

Fonte

Journal of Medical Case Reports, vol. 6, no. 1, pp. 410

Tipo

info:eu-repo/semantics/article

article