American Association of Neurological Surgeons | Endoscopic endonasal resection of a clival chordoma with massive brainstem compression @AANSNeurosurgery | Uploaded September 2021 | Updated October 2024, 2 hours ago.
Endoscopic endonasal resection of a clival chordoma with massive brainstem compression
Mostafa Shahein, MD, MS,1,3 Thiago Albonette-Felicio, MD,1 Giuliano Silveira-Bertazzo, MD,1
Rafael Martinez-Perez, MD, PhD,1 Marcus Zachariah, MD,1 Ricardo L. Carrau, MD, MBA,2
and Daniel M. Prevedello, MD1
Departments of 1Neurological Surgery and 2Otolaryngology–Head and Neck Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio; and 3Department of Neurosurgery, Aswan University Hospitals, Aswan University, Aswan, Egypt
Include when citing: Published online April 1, 2020; DOI: thejns.org/doi/abs/10.3171/2020.4.FocusVid.19942
Chordomas are rare tumors that occur at an incidence rate of 0.8 per 100,000. Thirty-five percent of chordomas occur in the spheno-occipital region. We present a case of a clival chordoma that had severe brainstem compression. The patient had a 1-year history of slurred speech and left facial weakness (House-Brackmann 3). The endoscopic endonasal transclival approach gave a panoramic view of the region without the necessity of brain retraction or manipulation of the surrounding cranial nerves. Gross-total resection was achieved and no CSF leak was encountered postoperatively. The left facial weakness improved to House-Brackmann 1.
**Intro music: "Daybreak" by Graeme Rosner
Endoscopic endonasal resection of a clival chordoma with massive brainstem compression
Mostafa Shahein, MD, MS,1,3 Thiago Albonette-Felicio, MD,1 Giuliano Silveira-Bertazzo, MD,1
Rafael Martinez-Perez, MD, PhD,1 Marcus Zachariah, MD,1 Ricardo L. Carrau, MD, MBA,2
and Daniel M. Prevedello, MD1
Departments of 1Neurological Surgery and 2Otolaryngology–Head and Neck Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio; and 3Department of Neurosurgery, Aswan University Hospitals, Aswan University, Aswan, Egypt
Include when citing: Published online April 1, 2020; DOI: thejns.org/doi/abs/10.3171/2020.4.FocusVid.19942
Chordomas are rare tumors that occur at an incidence rate of 0.8 per 100,000. Thirty-five percent of chordomas occur in the spheno-occipital region. We present a case of a clival chordoma that had severe brainstem compression. The patient had a 1-year history of slurred speech and left facial weakness (House-Brackmann 3). The endoscopic endonasal transclival approach gave a panoramic view of the region without the necessity of brain retraction or manipulation of the surrounding cranial nerves. Gross-total resection was achieved and no CSF leak was encountered postoperatively. The left facial weakness improved to House-Brackmann 1.
**Intro music: "Daybreak" by Graeme Rosner
