Subarachnoid hemorrhage associated with clival chordoma--case report

A 66-year-old man presented with clival chordoma associated with subarachnoid hemorrhage. Computed tomography showed subarachnoid hemorrhage in the right ambient cistern and a well-enhanced tumor in the petroclival region. Surgical exploration performed on the day of admission showed a clot in the tumor. The tumor was totally removed. Histological examination showed hemorrhage between the tumor and the dura. The diagnosis was clival chordoma. Subarachnoid hemorrhage in chordoma seems to occur by spreading of intratumoral hemorrhage into the subarachnoid space due to dural invasion.