Article
Resection of a chordoma of the clivus through a single session combined endoscopy-assisted, transnaso-clival and retrosigmoidal approach
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Published: | May 21, 2013 |
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Outline
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Clival chordomas confront the neurosurgeon with the task to attack an aggressively invasive and destructive tumour in a critical surrounding. For many – especially smaller – chordomas the transnasal, transclival approach is a feasible and safe surgical access. Larger tumours and especially those with extensive intradural retrochiasmal and/or deep cervical expansion are mostly attacked by open craniotomy. Also staged procedures are commonly used in case of expansive tumour growth.
We present the case of a single session combined endoscopy-assisted, transnaso-clival and retrosigmoidal approach to radically resect a large clival chordoma.