World neurosurgery · 2025
Total Resection of Clival Chordoma with Brainstem Invasion via Endoscopic Transnasal Approach: Technical Note.
СтатьяКлинический случайНазвание и аннотация: Перевод в очереди
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Feigl Guenther C, Bosnjak Roman, Staribacher Daniel, Britz Gavin, Stolevski Vlado, Kuzmin Dzmitry
Аннотация
OBJECTIVE: Clival chordomas with brainstem invasion are extremely rare; only 5 cases have been reported in the literature. In such cases total tumor resection is associated with high intraoperative risks and is a notable challenge for the neurosurgeon. However, it is the quality of surgical treatment that influences the future prognosis, despite the efficacy of proton therapy.
METHODS: We describe the clinical case of a 39-year-old male patient with the sudden onset of double vision and left trochlear nerve paresis, who was diagnosed with a clival chordoma with brainstem invasion.
RESULTS: The tumor was successfully resected via unilateral left mononostril endoscopic transnasal approach. The patient had a mild paresis of the left abducens nerve that improved during the postoperative period.
CONCLUSIONS: Clival chordomas with brainstem invasion are extremely rare. In some circumstances, total tumor resection can be achieved.
METHODS: We describe the clinical case of a 39-year-old male patient with the sudden onset of double vision and left trochlear nerve paresis, who was diagnosed with a clival chordoma with brainstem invasion.
RESULTS: The tumor was successfully resected via unilateral left mononostril endoscopic transnasal approach. The patient had a mild paresis of the left abducens nerve that improved during the postoperative period.
CONCLUSIONS: Clival chordomas with brainstem invasion are extremely rare. In some circumstances, total tumor resection can be achieved.