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Published on: January 17, 2018
Cystic Chordoma of the Cavernous Sinus
Prashant Sathe1, Amit Mahore, Aadil Chagla
1King Edward VII Memorial Hospital, Seth G.S. Medical College, Department of Neurosurgery, Mumbai, India.
Abstract:
Chordomas are the tumors commonly involving base of skull which are predominantly solid in consistency. A cystic chordoma of the cavernous sinus is an extremely rare entity and has never been reported. We report a 26-year-old male presenting with gradually progressive right-sided sixth nerve palsy and headache. Computed tomography and magnetic resonance imaging of the brain showed a cystic lesion in the right cavernous sinus. The patient was successfully treated using a transnasal endoscopic transsphenoidal approach. Histopathological examination of the lesion revealed chordoma. Our case is the first report of such a condition. Chordoma should be considered in the differential diagnosis of cystic lesions in the parasellar location. We briefly review the radiology, the pathology and management dilemmas of such lesions.
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