Drop metastases in a patient with a chondroid chordoma of the clivus.
Metastasising chordomas are extremely rare and only four cases with drop metastases have been reported. We report a patient with an intracranial chondroid chordoma, typically involving the clivus, treated by repeated resection, percutaneous transluminal embolisation and radiosurgery. During follow-up with MRI asymptomatic intradural drop metastases were observed throughout the spine, with transgression of the intervertebral foramen, forming a "dumbbell".
Uggowitzer
M M
MM
Department of Radiology, Karl-Franzens Medical School and University Hospital, Graz, Austria.
Kugler
C
C
Groell
R
R
Lindbichler
F
F
Radner
H
H
Sutter
B
B
Ranner
G
G
D000328:Adult; D002817:Chordoma / Q000175:diagnosis / Q000556:secondary* / Q000628:therapy; D003388:Cranial Fossa, Posterior; D004388:Dura Mater / Q000473:pathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008577:Meningeal Neoplasms / Q000556:secondary*; D019292:Skull Base Neoplasms / Q000175:diagnosis / Q000473:pathology* / Q000628:therapy