Intracranial chordoma presenting as acute hemorrhage in a child: Case report and literature review

Kenneth Moore, Bradley Bohnstedt, Sanket Shah, Marwah Abdulkader, Jose Bonnin, Laurie Ackerman, Kashif Shaikh, Stephen Kralik, Mitesh Shah

Research output: Contribution to journalReview article

5 Scopus citations

Abstract

Background: Chordomas are rare, slow-growing malignant neoplasms derived from remnants of the embryological notochord. Pediatric cases comprise only 5% of all chordomas, but more than half of the reported pediatric chordomas are intracranial. For patients of all ages, intracranial chordomas typically present with symptoms such as headaches and progressive neurological deficits occurring over several weeks to many years as they compress or invade local structures. There are only reports of these tumors presenting acutely with intracranial hemorrhage in adult patients. Case Description: A 10-year-old boy presented with acute onset of headache, emesis, and diplopia. Head computed tomography and magnetic resonance imaging of brain were suspicious for a hemorrhagic mass located in the left petroclival region, compressing the ventral pons. The mass was surgically resected and demonstrated acute intratumoral hemorrhage. Pathologic examination was consistent with chordoma. Conclusion: There are few previous reports of petroclival chordomas causing acute intracranial hemorrhage. To the authors′ knowledge, this is the first case of a petroclival chordoma presenting as acute intracranial hemorrhage in a pediatric patient. Although uncommon, it is important to consider chordoma when evaluating a patient of any age presenting with a hemorrhagic lesion of the clivus.

Original languageEnglish (US)
Article number63
JournalSurgical Neurology International
Volume6
Issue number1
DOIs
StatePublished - Jan 1 2015

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Keywords

  • Chordoma
  • children
  • intracranial hemorrhage

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Moore, K., Bohnstedt, B., Shah, S., Abdulkader, M., Bonnin, J., Ackerman, L., Shaikh, K., Kralik, S., & Shah, M. (2015). Intracranial chordoma presenting as acute hemorrhage in a child: Case report and literature review. Surgical Neurology International, 6(1), [63]. https://doi.org/10.4103/2152-7806.155445