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J Neurol Surg Rep 2014; 75(01): e98-e102
DOI: 10.1055/s-0034-1373668
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Combined Transnasal and Transcranial Removal of a Giant Clival Chordoma

Nicolas O. Koechlin
1   Centre for Endoscopic and Minimally Invasive Neurosurgery, Klinik Hirslanden, Zurich, Switzerland
,
Daniel Simmen
2   ORL-Zentrum, Center for Otology, Skull Base Surgery, Rhinology and Facial Plastic Surgery, Klinik Hirslanden, Zurich, Switzerland
,
Hans Rudolf Briner
2   ORL-Zentrum, Center for Otology, Skull Base Surgery, Rhinology and Facial Plastic Surgery, Klinik Hirslanden, Zurich, Switzerland
,
Robert Reisch
1   Centre for Endoscopic and Minimally Invasive Neurosurgery, Klinik Hirslanden, Zurich, Switzerland
› Author Affiliations
Further Information

Publication History

23 September 2013

31 January 2014

Publication Date:
28 May 2014 (online)

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Abstract

Clival chordomas confront the surgeon with the task of resecting an aggressively invasive and destructive tumor in a critical surrounding. For many, mainly smaller, chordomas, the transnasal transclival approach is a feasible and safe surgical access. Larger tumors and especially those with extensive intradural, retrochiasmal, and/or deep cervical expansion are mostly approached by open craniotomy. Staged procedures are also commonly used in the case of expansive tumor growth. We present the first case of a single-session combined transnasal and transcranial approach to radically resect a large clival chordoma.

Keywords

endoscopy - chordoma - skull base - approach
 

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