CASE REPORTS   

Journal of Neurosurgical Sciences 1999 June;43(2):159-62

Copyright © 1999 EDIZIONI MINERVA MEDICA

language: English

Intradural cervical chordoma. Case report

Gelabert-Gonzales M., Pintos-Martinez E., Caparrini-Escondrillas R., Martinez-Rumbo R.

Service of Neurosurgery and Service of Pathology (EPM, ACE), University of Santiago de Compostela, Santiago de Compostela, Spain

We ­describe a ­rare ­case of an intra­du­ral spi­nal chor­do­ma. Only ­two cas­es ­have ­been pre­vi­ous­ly report­ed ­and it is ­the sec­ond ­case diag­nosed ­with ­MRI. A 65-year-­old ­man pre­sent­ed ­with pro­gres­sive dis­tur­bance of ­gait ­and weak­ness in ­the low­er extrem­ities. ­MRI ­revealed a intra­du­ral C6-C7 iso­in­tense ­mass, on T1- ­and T2-weight­ed imag­es. The ­lesion ­enhanced ­after injec­tion of gad­o­lin­ium. The ­lesion ­was total­ly ­removed with­out dif­fi­cul­ty by a C6-D1 lam­i­nec­to­my. Microscopic exam­ina­tion of ­the ­tumor ­revealed a chor­do­ma. This is ­the ­third ­case in ­the lit­er­a­ture of an intra­du­ral spi­nal chor­do­ma. The appear­ance of ­this ­tumor ­with ­MRI ­may be sim­i­lar to ­the chor­do­mas of oth­er loca­tions.