Turkish Neurosurgery 2019 , Vol 29 , Num 2
Cystic Chordoma of the Cavernous Sinus
Prashant SATHE1,Amit MAHORE1,Aadil CHAGLA1
1King Edward VII Memorial Hospital, Seth G.S. Medical College, Department of Neurosurgery, Mumbai, India DOI : 10.5137/1019-5149.JTN.20565-17.1 Chordomas are the tumors commonly involving base of skull which are predominantly solid in consistency. A cystic chordoma of the cavernous sinus is an extremely rare entity and has never been reported. We report a 26-year-old male presenting with gradually progressive right-sided sixth nerve palsy and headache. Computed tomography and magnetic resonance imaging of the brain showed a cystic lesion in the right cavernous sinus. The patient was successfully treated using a transnasal endoscopic transsphenoidal approach. Histopathological examination of the lesion revealed chordoma. Our case is the first report of such a condition. Chordoma should be considered in the differential diagnosis of cystic lesions in the parasellar location. We briefly review the radiology, the pathology and management dilemmas of such lesions. Keywords : Cavernous sinus, Chordoma, Cyst
Corresponding author : Amit MAHORE, amit2mahore@yahoo.co.in