Skip to main content
Article thumbnail
Location of Repository

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

By Kenneth A. Moore, Bradley N. Bohnstedt, Sanket U. Shah, Marwah M. Abdulkader, Jose M. Bonnin, Laurie L. Ackerman, Kashif Shaikh, Stephen F. Kralik and Mitesh V. Shah


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

Topics: Chordoma, Children, Intracranial hemorrhage
Publisher: Wolters Kluwer
Year: 2015
DOI identifier: 10.4103/2152-7806.155445
OAI identifier:
Provided by: IUPUIScholarWorks

Suggested articles

To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.