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Combined Transnasal and Transcranial Removal of a Giant Clival Chordoma

Clival chordomas confront the surgeon with the task of resecting an aggressively invasive and destructive tumor in a critical surrounding. For many, mainly smaller, chordomas, the transnasal transclival approach is a feasible and safe surgical access. Larger tumors and especially those with extensiv...

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Detalles Bibliográficos
Autores principales: Koechlin, Nicolas O., Simmen, Daniel, Briner, Hans Rudolf, Reisch, Robert
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4110148/
https://www.ncbi.nlm.nih.gov/pubmed/25083400
http://dx.doi.org/10.1055/s-0034-1373668
Descripción
Sumario:Clival chordomas confront the surgeon with the task of resecting an aggressively invasive and destructive tumor in a critical surrounding. For many, mainly smaller, chordomas, the transnasal transclival approach is a feasible and safe surgical access. Larger tumors and especially those with extensive intradural, retrochiasmal, and/or deep cervical expansion are mostly approached by open craniotomy. Staged procedures are also commonly used in the case of expansive tumor growth. We present the first case of a single-session combined transnasal and transcranial approach to radically resect a large clival chordoma.