Removal of clival chordoma in an adolescent thorough combned pterional transsylvian and anterior temporal approach

Bozbuga M., Sueslue H. T. , Gueler I., Bilgi B., Bayindir C.

TURKISH NEUROSURGERY, vol.17, no.1, pp.55-59, 2007 (Journal Indexed in SCI) identifier

  • Publication Type: Article / Article
  • Volume: 17 Issue: 1
  • Publication Date: 2007
  • Title of Journal : TURKISH NEUROSURGERY
  • Page Numbers: pp.55-59


Extensive and aggressive surgical removal is treatment of choice for patients who have chordomas of the cranial base. Well-developed microsurgical techniques, as well as good surgical judgment learned from experience are essential to avoid major morbidity. A 14-year-old female presented with progressive headaches and diplopia for three months. Cranial magnetic resonance imaging demonstrated a well-circumscribed mass in the clival region. The mass was totally excised via right combined pterional transsylvian and anterior temporal approach (+ orbitozygomatic osteotomy). The tumor was located extradurally. The resected tumor had the typical histological and immunohistochemical characteristics of chordoma. No radiation therapy or chemotherapy was administered.