Clivus Chordomas: Role of Surgery
Journal
World Neurosurgery
ISSN
1878-8750
Date Issued
2014
Author(s)
Guinto, Gerardo
Guinto-Nishimura, Yoshiaki
Type
text::journal::journal article
Abstract
Because of their location and biological behavior, clivus chordomas are tumors that remain a major challenge for the neurosurgeon. Clivus chordoma is a slow-growing malignant tumor that originates in the remnants of the notochord and represents 1% of all intracranial tumors. These tumors can be found at the skull base as well as the spine, with a special predilection for the sacrococcygeal and clival regions. Even though the notochord induces the formation of the axial skeleton, clivus chordomas are not necessarily found in the middle line; remnants of this embryological structure have been found at virtually any location of the skull base.
