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High cervical chordoma--case report

K Kawai1, T Sasaki, A Yanai

  • 1Department of Neurosurgery, Teraoka Memorial Hospital, Hiroshima, Japan.

Neurologia Medico-Chirurgica
|March 1, 1995
PubMed
Summary
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Early detection of slow-growing cervical chordoma is possible with careful review of serial X-rays and advanced imaging, enabling successful surgical removal. This case highlights the importance of vigilance for early diagnosis of this rare spinal tumor.

Area of Science:

  • Oncology
  • Neurosurgery
  • Radiology

Background:

  • Chordomas are rare, slow-growing malignant tumors arising from notochordal remnants.
  • Cervical chordomas are particularly rare and can present with subtle, non-specific symptoms like neck pain.
  • Early diagnosis is challenging due to the insidious nature of initial symptoms.

Observation:

  • A 42-year-old male presented with isolated neck pain, initially attributed to benign causes.
  • Serial cervical roentgenograms over eight years revealed a slowly growing lesion.
  • Advanced imaging, including computed tomography (CT) and magnetic resonance imaging (MRI), precisely localized the tumor to the anterior aspect of the C-2 vertebral body.

Findings:

  • The high cervical chordoma was detected at an early stage due to meticulous radiological follow-up.

Related Experiment Videos

  • Complete tumor resection was achieved via a transoral surgical approach.
  • Histopathological confirmation of chordoma was obtained.

    • Implications:

    • This case underscores the value of serial radiographic monitoring in identifying slow-growing vertebral tumors.
    • Neuroimaging techniques are crucial for accurate diagnosis and surgical planning of cervical chordomas.
    • Prompt diagnosis and surgical intervention can lead to favorable outcomes for patients with early-stage cervical chordoma.