Musluman Ahmet Murat, Yilmaz Adem, Colak Ibrahim, Soglu Halit Cavu, Ugurlu Kemal, Aydin Yunus
Sisli Etfal Education and Research Hospital, Department of Neurosurgery, Istanbul, Turkey.
Turk Neurosurg. 2011 Jan;21(1):86-9.
Clival chordomas are frequently midline structures. Due to their critical location, invasive nature and aggressive recurrences, skull base chordomas are difficult to manage surgically. We present a case operated on with the pedicled transnasal and transfacial approach. The case presented with neurological deficits as cranial nerve palsy and findings of brainstem compression. The lesion was removed without any neurological deficit. Her deficits related to brainstem compression regressed after surgery. In our case, a large exposure was achieved through a lateral nasal incision in order to excise the tumor totally with acceptable cosmetic results, and a successful outcome was observed during the postoperative follow-up period with the surgical procedure applied.
