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Chordoma

Case contributed by Hani Makky Al Salam
Diagnosis almost certain

Presentation

Headache and diplopia.

Patient Data

Age: 4 years
Gender: Male
ct

A large mass arising from, and partially destroying, the clivus is noted with spicules of calcification within it. It is located in the midline. 

mri

Arising from the clivus is a large mass that markedly compresses and distorts the brain stem. It is of low T1 and very T2 signal with heterogeneous enhancement. 

Case Discussion

This child went on to have surgery that histologically confirmed the diagnosis of chordoma.

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