title: Removal of clival chordoma in an adolescent thorough combned pterional transsylvian and anterior temporal approach.
abstract: Extensive and aggressive surgical removal is treatment of choice for patients who have chordomas of the cranial base. Well-developed microsurgical techniques, as well as good surgical judgment learned from experience are essential to avoid major morbidity. A 14-year-old female presented with progressive headaches and diplopia for three months. Cranial magnetic resonance imaging demonstrated a well-circumscribed mass in the clival region. The mass was totally excised via right combined pterional transsylvian and anterior temporal approach (+ orbitozygomatic osteotomy). The tumor was located extradurally. The resected tumor had the typical histological and immunohistochemical characteristics of chordoma. No radiation therapy or chemotherapy was administered.
authors.affiliation: Dr. Lültfi Kirdar Kartal Egitim ve Araştirma Hastanesi, Neurosurgery, Istanbul, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Bozbuğa
authors.forename: Hikmet
authors.initials: H
authors.lastname: Turan Süslü
authors.forename: Ilker
authors.initials: I
authors.lastname: Güler
authors.forename: Bilge
authors.initials: B
authors.lastname: Bilgi
authors.forename: Ciçek
authors.initials: C
authors.lastname: Bayindir
mesh_terms: D000293:Adolescent; D002533:Cerebral Angiography; D002817:Chordoma / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D003388:Cranial Fossa, Posterior / Q000601:surgery*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D019635:Neurosurgical Procedures / Q000379:methods*; D019292:Skull Base Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D013702:Temporal Lobe / Q000601:surgery