Abstract
Chordomas of the clivus are aggressive lesions which arise from remnants of primitive notochord and pose unique diagnostic and management challenges. They account for 1% of all intracranial tumours and present with cranial nerve palsies, orbito-frontal headache, visual disturbances and intracranial hemorrhages. They are therefore usually discovered only after having undergone long periods of undisturbed growth. Clinical diagnosis is made by interpretation of patient’s presenting symptoms and objective findings on physical examination. Radiographic studies supplement this information. True diagnosis can only be made histologically.
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