Primary intradural pontocerebellar chordoma metastasizing in the subarachnoid spinal canal.
Chordomas that are entirely extraosseous and intradural are rare. Additionally subarachnoid spinal implantation from such a cranial, intradural chordoma has never been reported before. The authors present a case of a widespread primary intradural chordoma in the basal cisterns of a 48-year-old woman which shows seeding of neoplastic cells to the spinal leptomeninges. It is concluded that also in cases of intradural and intracranial chordomas a tumor staging should include the search for spinal subarachnoid metastases.
Korinth
M
M
Department of Neurosurgery, Technical University (RWTH) Aachen, Germany.
Schönrock
L
L
Mayfrank
L
L
Gilsbach
J M
JM
D001706:Biopsy; D002528:Cerebellar Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D002817:Chordoma / Q000175:diagnosis / Q000473:pathology / Q000556:secondary* / Q000601:surgery; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D011149:Pons / Q000473:pathology / Q000601:surgery; D012086:Reoperation; D013120:Spinal Cord Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000556:secondary* / Q000601:surgery; D013346:Subarachnoid Space / Q000473:pathology