Benign notochordal cell tumor (probable)

Case contributed by Dr Wen Jak Ma

Presentation

Chronic headache

Patient Data

Age: 50 years
Gender: Female

Elongated band-like lesion in central clivus, dark on T1, bright on T2.

CT is almost normal, with subtle sclerosis in the region of MR abnormality.

MR cervical spine from 5 years prior with Sagittal T2 to better illustrate the bright T2 signal. Lesion has been stable.

Case Discussion

Not many differential diagnosis is available. Benign persistent notochordal tissue is one of the possibilities. Various evolving terms have been used in the literature eg. notochordal rests, tumor, hamartoma - all suggest benignity.

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Case information

rID: 65475
Published: 10th Jan 2019
Last edited: 11th Jan 2019
Inclusion in quiz mode: Included

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