CC BY-NC-ND 4.0 · Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 2022; 41(03): e270-e274
DOI: 10.1055/s-0040-1719010
Case Report

Isolated Intradural Prepontine Chordoma Presenting with Imaging Features of Epidermoid Cyst

Cordoma pré-pontino intradural isolado apresentando características de imagem de cisto epidermóide
1   Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran
2   Associate Professor of Neurosurgery, Department of Neurosurgery, Guilan University of Medical Sciences, Rasht, Iran
,
3   Resident of Neurosurgery, Department of Neurosurgery, Guilan University of Medical Sciences, Rasht, Iran
› Institutsangaben

Abstract

Chordoma is an erratic aggressive tumor of the brain that typically involves the clivus. The majority of the clivus chordomas reside in the extradural space. Here, we report a unique case of chordoma arising from the prepontine intradural space without bony involvement and presenting with radiological features typical of an epidermoid cyst on magnetic resonance imaging.



Publikationsverlauf

Eingereicht: 12. August 2020

Angenommen: 15. September 2020

Artikel online veröffentlicht:
23. September 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Faheem M, Zeeshan Q, Ojha B, Agrawal P. Thoracic intramedullary chordoma without bone involvement: a rare clinical entity. BMJ Case Rep 2016; 2016: bcr2016216101
  • 2 Vinke RS, Lamers EC, Kusters B, van Lindert EJ. Intradural prepontine chordoma in an 11-year-old boy. A case report. Childs Nerv Syst 2016; 32 (01) 169-173
  • 3 Ozek E, Bolukbasi FH, Baskan O, Altinoz MA, Sav A, Elmaci I. Prepontine Chordoma Presenting with MRI Features of an Epidermoid Cyst: Case Presentation and a Mini-Review. Curr Med Imaging Rev 2018; 14 (01) 147-150
  • 4 Kyriakos M. Benign notochordal lesions of the axial skeleton: a review and current appraisal. Skeletal Radiol 2011; 40 (09) 1141-1152
  • 5 Yakkioui Y, van Overbeeke JJ, Santegoeds R, van Engeland M, Temel Y. Chordoma: the entity. Biochimica et Biophysica Acta (BBA)-. Rev Can 2014; 1846 (02) 655-669
  • 6 Santegoeds RGC, Temel Y, Beckervordersandforth JC, Van Overbeeke JJ, Hoeberigs CM. State-of-the-art imaging in human chordoma of the skull base. Curr Radiol Rep 2018; 6 (05) 16
  • 7 Doucet V, Peretti-Viton P, Figarella-Branger D, Manera L, Salamon G. MRI of intracranial chordomas. Extent of tumour and contrast enhancement: criteria for differential diagnosis. Neuroradiology 1997; 39 (08) 571-576
  • 8 Sundaresan N, Galicich JH, Chu FC, Huvos AG. Spinal chordomas. J Neurosurg 1979; 50 (03) 312-319
  • 9 Heffelfinger MJ, Dahlin DC, MacCarty CS, Beabout JW. Chordomas and cartilaginous tumors at the skull base. Cancer 1973; 32 (02) 410-420
  • 10 Murad TM, Murthy MS. Ultrastructure of a chordoma. Cancer 1970; 25 (05) 1204-1215
  • 11 Erlandson RA, Tandler B, Lieberman PH, Higinbotham NL. Ultrastructure of human chordoma. Cancer Res 1968; 28 (10) 2115-2125
  • 12 Erdem E, Angtuaco EC, Van Hemert R, Park JS, Al-Mefty O. Comprehensive review of intracranial chordoma. Radiographics 2003; 23 (04) 995-1009
  • 13 Chugh R, Tawbi H, Lucas DR, Biermann JS, Schuetze SM, Baker LH. Chordoma: the nonsarcoma primary bone tumor. Oncologist 2007; 12 (11) 1344-1350
  • 14 Meyers SP, Hirsch Jr WL, Curtin HD, Barnes L, Sekhar LN, Sen C. Chordomas of the skull base: MR features. AJNR Am J Neuroradiol 1992; 13 (06) 1627-1636
  • 15 Yeom KW, Lober RM, Mobley BC. et al. Diffusion-weighted MRI: distinction of skull base chordoma from chondrosarcoma. AJNR Am J Neuroradiol 2013; 34 (05) 1056-1061 , S1
  • 16 Pamir MN, Özduman K. Analysis of radiological features relative to histopathology in 42 skull-base chordomas and chondrosarcomas. Eur J Radiol 2006; 58 (03) 461-470
  • 17 Ozutemiz C, Ada E, Ersen A, Ozer E. Imaging findings of an epidermoid cyst with malignant transformation to squamous cell carcinoma. Turk Neurosurg 2017; 27 (02) 312-315
  • 18 Patibandla MR, Yerramneni VK, Mudumba VS, Manisha N, Addagada GC. Brainstem epidermoid cyst: An update. Asian J Neurosurg 2016; 11 (03) 194-200
  • 19 Caldarelli M, Colosimo C, Di Rocco C. Intra-axial dermoid/epidermoid tumors of the brainstem in children. Surg Neurol 2001; 56 (02) 97-105
  • 20 Bergui M, Zhong J, Bradac GB, Sales S. Diffusion-weighted images of intracranial cyst-like lesions. Neuroradiology 2001; 43 (10) 824-829
  • 21 Tsuruda JS, Chew WM, Moseley ME, Norman D. Diffusion-weighted MR imaging of the brain: value of differentiating between extraaxial cysts and epidermoid tumors. AJR Am J Roentgenol 1990; 155 (05) 1059-1065 , discussion 1066–1068
  • 22 Recinos PF, Roonprapunt C, Jallo GI. Intrinsic brainstem epidermoid cyst. Case report and review of the literature. J Neurosurg 2006; 104 (04) 285-289
  • 23 Seung WB, Kim SM. Clival Cystic Chordoma in Children with Confused Magnetic Resonance Imaging. J Korean Neurosurg Soc 2004; 36 (05) 422-424
  • 24 Miki K, Yoshimoto K, Nishimura A, Suzuki SO, Hiwatashi A, Iihara K. A case of ecchordosis physaliphora in the prepontine cistern: a rare entity in the differential diagnosis of an epidermoid cyst. World Neurosurg 2017; 105: 1033.e11-1033.e14
  • 25 Hashim H, Rosman AK, Abdul Aziz A, Roqiah AK, Bakar NS. Atypical clival chordoma in an adolescent without imaging evidence of bone involvement. Malays J Med Sci 2014; 21 (05) 78-82
  • 26 Cho H, Yu IK, Kim SM, Kim HK. Magnetic resonance imaging of the intradural prepontine chordoma mimicking an epidermoid cyst: Pathologic correlation. J Korean Soc Radiol 2012; 67 (02) 73-77