Endoscopic endonasal resection of a clival chordoma with massive brainstem compression

Chordomas are rare tumors that occur at an incidence rate of 0.8 per 100,000. Thirty-five percent of chordomas occur in the spheno-occipital region. We present a case of a clival chordoma that had severe brainstem compression. The patient had a 1-year history of slurred speech and left facial weakne...

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Detalles Bibliográficos
Autores principales: Shahein, Mostafa, Albonette-Felicio, Thiago, Silveira-Bertazzo, Giuliano, Martinez-Perez, Rafael, Zachariah, Marcus, Carrau, Ricardo L., Prevedello, Daniel M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Association of Neurological Surgeons 2020
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9542690/
https://www.ncbi.nlm.nih.gov/pubmed/36284779
http://dx.doi.org/10.3171/2020.4.FocusVid.19942
Descripción
Sumario:Chordomas are rare tumors that occur at an incidence rate of 0.8 per 100,000. Thirty-five percent of chordomas occur in the spheno-occipital region. We present a case of a clival chordoma that had severe brainstem compression. The patient had a 1-year history of slurred speech and left facial weakness (House-Brackmann 3). The endoscopic endonasal transclival approach gave a panoramic view of the region without the necessity of brain retraction or manipulation of the surrounding cranial nerves. Gross-total resection was achieved and no CSF leak was encountered postoperatively. The left facial weakness improved to House-Brackmann 1. The video can be found here: https://youtu.be/DzW9Q6ckTHw.

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