Affiliations 

  • 1 Imaging Unit, Faculty of Medicine, Universiti Teknologi MARA, Jalan Hospital, 47000 Sungai Buloh, Selangor, Malaysia
  • 2 Department of Neurosurgery, Sungai Buloh Hospital, Jalan Hospital, 47000 Sungai Buloh, Selangor, Malaysia
  • 3 Department of Radiology, Sungai Buloh Hospital, Jalan Hospital, 47000 Sungai Buloh, Selangor, Malaysia
  • 4 Department of Pathology, Faculty of Medicine, Universiti Teknologi MARA, Jalan Hospital, 47000 Sungai Buloh, Selangor, Malaysia
Malays J Med Sci, ;21(5):78-82.
PMID: 25977639

Abstract

Clival chordoma is a rare primary bone tumour that arises from the remnant of the notochord and typically occurs in older adults. Upon imaging, the tumour can be seen arising from the clivus and causes clival destruction. This usually provides insight for a diagnosis. Here we present a case of a non-enhancing, pre-pontine mass that was hypointense on T1W and hyperintense on T2W in an adolescent. No clival bone erosion was observed. Based on the age group, imaging findings, and lack of clival erosion, a provisional diagnosis of epidermoid cyst was made and the tumour was resected. This patient was eventually diagnosed with a clival chordoma based on histopathological examination.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.