Turkish Neurosurgery
2019 , Vol 29 , Num 2
Cystic Chordoma of the Cavernous Sinus
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