Clivus chordomas are locally aggressive benign, with primary bone tumor arising from remnant of notochord anywhere from the coccyx to the base of the skull, in either a midline or paramedian position. The tumors show rare presentation and relatively common recurrence rate. Intracranial chordomas usually arise from the region around the clivus and account for about a third of all chordomas. Clival chordomas rarely metastasize and become symptomatic after local invasion to cranial nerves and skull base structure. Diagnosis is based on computed tomography scan/magnetic resonance imaging findings and histopathological examination of soft tissue mass. Complete surgical resection is the primary line of management with or without radiotherapy. We are presenting a case of clival chordoma of a 35-year-old female who presented with diminished vision and headache since 6 months. After evaluation, the patient was treated with endoscopic endonasal transsphenoidal resection of the tumor. After surgery, the patient showed relief from headache and slight improvement in vision loss.
Keywords: Clival chordoma, Endonasal, Endoscopic, Transsphenoid approach.
How to cite this article: Yadav JS, Kumar V, Selvaraj S, Bhan C, Pandey M. Endoscopic Removal of Clival Chordoma. Clin Rhinol An Int J 2017;10(1):28-31.
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Conflict of interest: None