Chordoma - clivus

Case contributed by Dr Ammar Haouimi

Presentation

Headaches

Patient Data

Age: 60 years
Gender: Male
MRI

There is a soft tissue mass centered on the clival region with extension to the sphenoid sinus. It appears of low signal intensity on T1WI, inhomogeneous high signal intensity on T2WI with heterogeneous enhancement and honeycomb appearance following IV contrast. Areas of internal restricted diffusion are noted on DWI/ADC. There is an extension to the left cavernous sinus with a reduced diameter of the internal carotid artery as compared to the right side. Upwards displacement of the pituitary gland with homogeneous enhancement.

Case Discussion

MRI appearances of a clival chordoma. This was a histopathologically proven chondroid chordoma.

A chondroid chordoma has the best prognosis a compared with the other subtypes of chordoma.

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Case information

rID: 65149
Published: 5th Jan 2019
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included
Institution: Aurès Medical Imaging Center - Batna Algeria

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