Clival chordoma with an atypical presentation: a case report.

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Serval ID
serval:BIB_E8AAE3D544FF
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Clival chordoma with an atypical presentation: a case report.
Journal
Journal of Medical Case Reports
Author(s)
Alshammari J., Monnier P., Daniel R.T., Sandu K.
ISSN
1752-1947 (Electronic)
ISSN-L
1752-1947
Publication state
Published
Issued date
2012
Volume
6
Number
1
Pages
410
Language
english
Notes
Publication types: Journal Article Publication Status: epublish
Abstract
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.
Pubmed
Open Access
Yes
Create date
04/02/2014 14:57
Last modification date
20/08/2019 17:11
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