Clival chordoma presenting with acute brain stem hemorrhage. |
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Authors: | A D Levi W Kucharczyk A P Lang H Schutz |
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Affiliation: | Department of Neuroradiology, Toronto Hospital, University of Toronto, Ontario, Canada. |
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Abstract: | The authors present a case of a 29-year-old man who developed rapidly progressive cranial nerve palsies and a right hemiparesis secondary to a pontine hemorrhage. The rare but correct diagnosis of a clival chordoma which had invaded the brain stem and subsequently hemorrhaged was based on computed tomography and magnetic resonance imaging. The diagnosis was confirmed at surgery when the patient underwent a successful operative decompression of tumor and clot from the pons via a sub-occipital craniotomy. This represents the first case of a clival chordoma to hemorrhage into the brain stem, which was diagnosed preoperatively and the patient survived. |
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