gms | German Medical Science

64th Annual Meeting of the German Society of Neurosurgery (DGNC)

German Society of Neurosurgery (DGNC)

26 - 29 May 2013, Düsseldorf

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Resection of a chordoma of the clivus through a single session combined endoscopy-assisted, transnaso-clival and retrosigmoidal approach

Meeting Abstract

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  • Nicolas Koechlin - Zentrum für Endoskopische und minimalinvasive Neurochirurgie, Klinik Hirslanden, Zürich
  • Michael Hugelshofer - Zentrum für Endoskopische und minimalinvasive Neurochirurgie, Klinik Hirslanden, Zürich
  • Robert Reisch - Zentrum für Endoskopische und minimalinvasive Neurochirurgie, Klinik Hirslanden, Zürich
  • Hans Rudolf Briner - Zentrum für Rhinologie, Schädelbasis- und Gesichtschirurgie, Klinik Hirslanden, Zürich
  • Daniel Simmen - Zentrum für Rhinologie, Schädelbasis- und Gesichtschirurgie, Klinik Hirslanden, Zürich

Deutsche Gesellschaft für Neurochirurgie. 64. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC). Düsseldorf, 26.-29.05.2013. Düsseldorf: German Medical Science GMS Publishing House; 2013. DocMO.07.09

doi: 10.3205/13dgnc060, urn:nbn:de:0183-13dgnc0609

Published: May 21, 2013

© 2013 Koechlin et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

Text

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.