Clival chordoma manifesting as nasal bleeding. A case report

被引:0
作者
Ryuhei Kitai
Kazuhiko Yoshida
Toshihiko Kubota
Kazufumi Sato
Yuji Handa
Kazuma Kasahara
Hirofumi Nakajima
机构
[1] University of Fukui,Department of Neurosurgery, Faculty of Medical Sciences
[2] Tsuruga Municipal Hospital,Department of Neurosurgery
来源
Neuroradiology | 2005年 / 47卷
关键词
Chordoma; Epistaxis; Hemorrhage;
D O I
暂无
中图分类号
学科分类号
摘要
Chordoma is a rare cartilaginous tumor, for which bleeding presentation is unusual. We report a case of rare hemorrhaged clival chordoma, which was diagnosed correctly by magnetic resonance imaging. A 32-year-old man presented with nasal bleeding. The tumor was totally removed via a trans-sphenoidal approach, from which the surgical specimen confirmed chordoma. Epistaxis seemed to be caused by the spreading of the intratumoral hemorrhage into the sphenoid sinus. This case demonstrates the importance of an exact differential diagnostic evaluation, including chordoma, by use of modern imaging techniques for nasal bleeding.
引用
收藏
页码:368 / 371
页数:3
相关论文
共 73 条
[1]  
Asano S(2003)Intradural spinal seeding of a clival chordoma Acta Neurochir (Wien) 145 599-603
[2]  
Kawahara N(1941)Cranial chordoma: a clinical and pathologic study Arch Surg 42 411-425
[3]  
Kirino T(1992)Chordomas of the skull base: MR features AJNR Am J Neuroradiol 13 1627-1636
[4]  
Gardner WJ(1974)Chordoma of the clivus as a cause of cerebral hemorrhage: anatomoclinical discussion of an autopsied case Boll Soc Ital Biol Sper 50 912-918
[5]  
Tuner O(1989)Fatal acute pontocerebellar hemorrhage due to an unsuspected spheno-occipital chordoma Arch Pathol Lab Med 113 1075-1078
[6]  
Meyers SP(1988)A case of clivus chordoma showing hemorrhage in the posterior fossa No Shinkei Geka 16 1417-1421
[7]  
Hirsch WL(1998)Hemorrhagic chondroid chordoma mimicking pituitary apoplexy Neuroradiology 40 720-723
[8]  
Curtin HD(1991)Clival chordoma presenting with acute brain stem hemorrhage Can J Neurol Sci 18 515-518
[9]  
Barnes L(2003)Subarachnoid hemorrhage associated with clival chordoma—case report Neurol Med Chir (Tokyo) 43 605-607
[10]  
Sekhar LN(2001)The interesting case no. 42. Differential diagnosis of epistaxis Laryngorhinootologie 80 109-111