• J Clin Neurosci · Nov 2010

    Case Reports

    Combined endoscopic endonasal and posterior cervical approach to a clival chordoma.

    • Anthony Minh Tien Chau, Amanda Lazzaro, Ralph Jasper Mobbs, and Charles Teo.
    • Faculty of Medicine, University of New South Wales, Sydney, Australia.
    • J Clin Neurosci. 2010 Nov 1;17(11):1463-5.

    AbstractChordomas in the clival-cervical region present challenges to the neurosurgical team due to their encroaching nature, proximity to critical neurovascular structures and often large size due to late presentation. This report illustrates the utility of a staged approach when confronted with such a pervasive tumour. We describe the adaptive combination of two approaches, the endoscopic endonasal transsphenoidal plus posterior cervical approaches, in the surgical management of a clival chordoma extending inferiorly to C3 in an 18-year-old male.Copyright © 2010 Elsevier Ltd. All rights reserved.

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