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Endoscopic transoral resection for an upper cervical chordoma in a pediatric patient
Yusuke Morinaga1, Yasuhiro Tsunemi2, Ryu Kurokawa1
1Department of Neurosurgery, Dokkyo Medical University School of Medicine, 880 Kitakobayashi, Mibu, Tochigi, 321-0293, Japan.
Background:
Upper cervical chordoma (UCC) is a rare disease, and although transoral approaches are the methods of choice, minimally invasive techniques have not been established.
Method:
We report the successful use of endoscopic transoral surgery for upper cervical chordoma at the C1-3 levels in the midline epidural space in an 8-year-old girl who presented with neck pain and quadriplegia. Three months after occipitocervical posterior fixation, endoscopic transoral surgery was performed and the tumor was nearly totally removed.
Conclusion:
Endoscopic transoral surgery in pediatric patients with UCCs is a minimally invasive and safe technique.
