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J Korean Neurol Assoc. 1999;17(6):908-911.
- A Case of Chordoma Arising from Clivus
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Joon-Sung Yim, M.D., Young-Bae Lee, M.D., Gyu-Yong Lee, M.D.,
Woon-Gyu Park, M.D., Young-Joo Lee, M.D., Hee-Tae kim, M.D.,
Seung-Hyun Kim, M.D., Joo-Han Kim, M.D., Myung-Ho Kim, M.D.
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Department of Neurology, Hanyang University Hospital
- 사대에서 발생한 척삭종 1예
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임준성, 이영배 ·이규용 ·박운규 ·이영주 ·김희태 ·김승현 ·김주한 ·김명호
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한양대학교 의과대학 신경과학교실
- Abstract
- Chordoma is a rare tumor derived from notochord remnants, but can occur at any level of the craniovertebral axis, pri-marily in the sacrum, clivus, and cervical regions. Therefore, chordoma should be considered as a rare cause in the dif-ferential diagnosis of mass lesions around the cervicomedullary junction. A 62-year-old man suffered from a suboccipi-tal, nuchal pain and headache for 15 years and nasal obstruction, recently. In a neurological examination, dysarthria, uvula and tongue deviation, depressed soft palate, decreased gag reflex, and atrophic SCM were noted. The MRI find-ings included an isosignal, round, well- marginated, and nearly homogeneous tumor compressing the lower brainstem. A biopsy was done by the transoral approach with a permanent diagnosis of chordoma arising from the clivus. We report a rare case of chordoma arising from the inferior margin of the clivus in a patient with multiple lower cranial nerve palsies. J Korean Neurol Assoc 17(6):908~911, 1999 Key Words : Chordoma, Clivus, Cervicomedullary junction mass
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