Apoplexy in an intradural clival chordoma causing intraventricular bleed

Background: A few cases depicting apoplexy in a chordoma have been reported. Rarely, this intratumoral bleed may spillover into intracerebral or intraventricular regions. Case Description: The authors report an intradural variety of clival chordoma presenting with apoplexy and spillover of blood into lateral ventricle. Clinical presentation, radiological scans, and relevant literature is also described. Conclusions: In a stable case of clival chordoma, intratumoral bleed or apoplexy may cause rapid neurological worsening and warranting urgent surgical intervention.

[1]  Chul-Kee Park,et al.  Intracranial intradural chordoma presenting with intraventricular hemorrhage , 2012, Clinical Neurology and Neurosurgery.

[2]  J. Simonsen.  FATAL SUBARACHNOID HAEMORRHAGE ORIGINATING IN AN INTRACRANIAL CHORDOMA. , 2009, Acta pathologica et microbiologica Scandinavica.

[3]  K. Ohata,et al.  An intradural skull base chordoma presenting with acute intratumoral hemorrhage. , 2006, Neurology India.

[4]  K. Kazumata,et al.  Subarachnoid hemorrhage associated with clival chordoma--case report. , 2003, Neurologia medico-chirurgica.

[5]  A. Grigorian,et al.  Hemorrhagic chondroid chordoma mimicking pituitary apoplexy , 1998, Neuroradiology.

[6]  W. Kucharczyk,et al.  Clival Chordoma Presenting with Acute Brain Stem Hemorrhage , 1991, Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques.

[7]  J. Sugimura,et al.  [A case of clivus chordoma showing hemorrhage in the posterior fossa]. , 1988, No shinkei geka. Neurological surgery.