Chordoma of the clivus is an uncommon lesion that can be difficult to manage. The transsphenoidal approach is useful in many cases and can provide the optimal means of exposure for lesions of the midclivus. In selected cases this route may be used for biopsy, for radical surgical removal, and for palliation of extensive or recurrent lesions.
Get full access to this article
View all access options for this article.
References
1.
BaileyPBagdasarD: Intracranial chordoblastomas. Am J Pathol5: 439–449, 1929.
2.
DahlinDCMacCartyCS: Chordoma: Study of 59 cases. Cancer5: 1170–1178, 1952.
StewartMJMorinJE: Chordoma; review, with report of a new sacrococcygeal case. J Path Bact29: 41–60, 1926.
5.
HeffelfingerMJDahlinDCMacCartyCSBeaboutJW: Chordomas and cartilaginous tumors at the skull base. Cancer32: 410–420, 1973.
6.
Petit-DutaillisDMessimyRBerdetHBenaimJ: Contribution au diagnostic des chordomes spheno-occipitaux. Sem Hop Paris27: 2663–2676, 1951.
7.
DeromePJ: The transbasal approach to tumors invading the base of the skull. InSchmidekHHSweetWH, editors: Operative neurosurgical techniques, indications, methods and results, vol 1. New York, 1982, Grune & Stratton, Inc, pp 357–380.
8.
GuiotGRougerieJBoucheJ: The rhinoseptal route for the removal of clivus chordomas. Johns Hopkins Med J122: 329–335, 1968.