Anesthetic management of excision of recurrent C2 chordoma with extension into posterior pharyngeal wall

Bhatnagar, Vidhu; Karmarkar, Abhijit A; Dwivedi, Deepak; Ray, Arijit

doi:10.4103/jmms.jmms_50_17

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2019

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“…1 Treating chordomas can be challenging due to their proximity to various vital structures and their high recurrence rate, therefore, en bloc resection may not be possible, and microsurgery with the aim of gross total resection or subtotal resection followed by adjuvant therapy such as radiotherapy is considered to be the treatment of choice. 1,2,4 Most chordoma patients treated with the transsphenoidal approach. 8 However, more extensive tumors treated with the transbasal or transpetrosal approach.…”

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confidence: 99%

Anesthetic Considerations in a Case With Massive Recurrent Clivus Chordoma

Soltanpoor

Behnaz

Faresani

et al. 2019

Int Clin Neurosci J

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Chordomas rare low grade slow-growing malignant tumors with an incidence rate of 1 in 100000 individuals.32% of chordomas occur in the clivus. Diagnosing Clival chordomas could be challenging due to their rare prevalence, insidious onset, and tendency to involve anywhere throughout the craniospinal column. Treating these tumors can also present as a challenge due to their proximity to vital structures and high recurrence rate. We present a case of massive recurrent Clival chordoma in a 27-year-old patient and discuss the anesthetic considerations in such cases.

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