Chordomas of the upper cervical spine: radiographic evaluation. Study of two cases and review of the literature

Kokkinis, K.; Vlychou, M.; Stathopoulou, S.; Lazoura, O.; Makris, N.; Evangelopoulos, D.; Benetos, I.; Papadaki, P.; Korres, D.
January 2008
European Journal of Orthopaedic Surgery & Traumatology;Jan2008, Vol. 18 Issue 1, p3
Academic Journal
Chordomas are rare bony tumors, usually involving the skull base and sacrococcygeal spine, while least presented in cervical and thoracic spine. Chordomas of the cervical spine may cause variable neurological symptoms. Adult patients presenting with neck pain, paresthesias or limb paresis are further investigated. The history of progressive tetraparesis, however, implies a long-standing disease. Clinical presentation and imaging investigation of the cervical spine chordoma aims to alert the physicians for its early detection. Herein is reported the clinical presentation of two chordomas with progressive tetraparesis in two patients involving in both cases the third cervical vertebra. Plain radiographs, bone scintigraphy, CT and MR scanning were the imaging modalities depicting the mass, its prevertebral and intraspinal extension.


Related Articles

  • Clinical significance of a wide excision policy for sacrococcygeal chordoma. Osaka, Shunzo; Kodoh, Osamu; Sugita, Hideyuki; Osaka, Eiji; Yoshida, Yoshiyuki; Ryu, Junnosuke // Journal of Cancer Research & Clinical Oncology;Apr2006, Vol. 132 Issue 4, p213 

    Purpose: Surgical treatment of sacrococcygeal chordoma is very difficult and the recurrence rate is high. We investigated the outcomes of wide excision in 12 sacrococcygeal chordoma patients treated between 1983 and 2003. Methods: The 12 patients underwent primary wide excision. The conventional...

  • A Case of Type III Cystic Sacrococcygeal Teratoma. Soo Han Yoon; Se-Hyuck Park // Pediatric Neurosurgery;Jul2006, Vol. 42 Issue 4, p234 

    We report a rare case of congenital type III cystic teratoma that may be falsely diagnosed as an anterior sacral meningocele. A female newborn baby presented with a long, white-colored 4 × 1 cm coccygeal cyst posterior to the anus. Magnetic resonance imaging (MRI) demonstrated that a 10...

  • A case of sacro-coccygeal chordoma masquerading as pilonidal sinus. Beattie, G.C.; Millar, I,.; Nawroz, I.M.; Browning, G.G.P. // Journal of the Royal College of Surgeons of Edinburgh;Aug2000, Vol. 45 Issue 4, p254 

    Features a case of a sacro-coccygeal chordoma diagnosed incidentally on surgical exploration of a case of presumed pilonidal sinus disease. Clinical examination; Optimal treatment.

  • Benign notochordal lesions of the axial skeleton: a review and current appraisal. Kyriakos, Michael // Skeletal Radiology;Sep2011, Vol. 40 Issue 9, p1141 

    At the 1996 meeting of the International Skeletal Society, an idea was put forth that there existed symptomatic lesions of the axial skeleton, morphologically different from chordoma, that were consistent with benign notochordal remnants (rests). A review of the embryological basis for this...

  • Sacral chordoma - a report of two cases. Rao, B. S. S.; Menezes, L. T.; Rao, A. D.; John, S. K. // Indian Journal of Surgery;Aug2005, Vol. 67 Issue 4, p207 

    Chordoma is a rare, slow growing but locally aggressive malignant tumor derived from primitive notochordal elements, and it is usually found in the sacrococcygeal area. Chordomas are difficult to excise completely because preservation of sacral stability and sacral nerve pathways to the rectum...

  • Cordoma sacrococcígeo. A propósito de un caso. Núñez, Ricardo Alfonzo; Blancofombona, Isabella Díaz; Mileo, Juan Carlos Sierra // Revista Mexicana de Coloproctologia;may-ago2007, Vol. 13 Issue 2, p53 

    The Sacrococcygeal Chordoma is a rare, malign and insidious starting tumor, that is origin from the remainder of primitive notocorda. We show next, the case of one 39 years old, male patient who goes to consultation for having perianal pain, starting 18 months a go with rectal tenesmus. There...

  • Sacrococcygeal ependymoblastoma. Gard, Andrew; Perry, Deborah; Abdessalam, Shahab; Bowdino, Bradley // Child's Nervous System;Dec2015, Vol. 31 Issue 12, p2215 

    The article presents a case study of a four-year-old female patient who was presented with a subcutaneous sacrococcygeal mass and was admitted for neurosurgical evaluation. Pathologic microscopic evaluation showed a majority component of both myxopapillary ependymoma and ependymoblastoma. She...

  • Metastatic sacrococcygeal yolk sac tumor: A misleading diagnosis. Nsir, Atef Ben; Darmoul, Mehdi; Arous, Sarra Ben; Hattab, Nejib // Journal of Neurosciences in Rural Practice;Jul-Sep2015, Vol. 6 Issue 3, p395 

    Sacrococcygeal yolk sac tumor (YST) is an extremely rare malignant extra-gonadal germ-cell tumor, which usually succeeds to the degeneration of more common benign teratoma. We describe here an unprecedented case of conus medullaris compression by a spinal metastasis from a pure sacrococcygeal...

  • Myxopapillary Ependymoma of the Sacrococcygeal Region Presenting as a Pilonidal Sinus. Alexiou, George A.; Sfakianos, George; Moschovi, Maria; Athanasiadou, Sofia; Stefanaki, Kalliopi; Prodromou, Neofytos // Pediatric Neurosurgery;Oct2012, Vol. 48 Issue 1, p64 

    No abstract available Copyright © 2012 S. Karger AG, Basel


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics