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- Title
A case of ecchordosis physaliphora presenting with an abducens nerve palsy: A rare symptomatic case managed with endoscopic endonasal transsphenoidal surgery.
- Authors
Yamamoto, Takahiro; Yano, Shigetoshi; Hide, Takuichiro; Kuratsu, Jun-ichi
- Abstract
Background: Ecchordosis physaliphora (EP) is a benign notochordal remnant that is usually asymptomatic; symptomatic cases are extremely rare. Most of the reported symptomatic cases were managed by resection via craniotomy. Case Description: We report a case of a 20-year-old male presenting with abducens nerve palsy. Magnetic resonance imaging performed on admission demonstrated a mass in the retroclival prepontine location. The patient was treated successfully by endoscopic endonasal trans-sphenoidal surgery (ETSS), his postoperative course was uneventful, and the abducens nerve palsy disappeared. Conclusion: ETSS has advantages not only for treatment but also for differentiation between EP and intradural chordoma. This is the first case of symptomatic EP successfully treated solely by ETSS.
- Subjects
HAMARTOMA; TUMOR diagnosis; TUMOR surgery; TUMOR treatment; SYMPTOMS; ENDOSCOPIC surgery; THERAPEUTICS
- Publication
Surgical Neurology International, 2013, Vol 4, Issue 1, p59
- ISSN
2229-5097
- Publication type
Case Study
- DOI
10.4103/2152-7806.106562