Journal Information
Vol. 32. Issue 1.
Pages 41-43 (January - February 2021)
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Vol. 32. Issue 1.
Pages 41-43 (January - February 2021)
Case Report
Spontaneous CSF rhinorrhea as a presenting symptom of a clival chordoma
Fístula espontánea de LCR como síntoma de presentación de un cordoma de clivus
Arnold R. Quiroz Tejadaa,
Corresponding author
arnold81492@hotmail.com

Corresponding author.
, Juan A. Simal-Juliána, Laila Pérez de San Román-Menaa, Pablo Miranda-Lloreta, Carlos Botella-Asuncióna, Maria Rosa Sanchis Martinb
a Department of neurological surgery, HUiP La Fe, Valencia, Spain
b CHGU, Valencia, Spain
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Table 1. Summary of cases with CSF leak as a presenting symptom of a clival chordoma.
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Abstract

CSF rhinorrhea is a rare presenting symptom of a clival chordoma as these tumors do not tend to show dural invasion as a histological feature. Here we discuss the case of a 61 years old female with spontaneous rhinorrhea secondary to a clival chordoma, and the value of some specific MRI sequences in accurate identification of a tumor with such atypical presentation, enabling the surgeon to plan accordingly.

Keywords:
CSF rhinorrhea
Clival chordoma
CSF leak
PROPELLER DWI
Resumen

Los cordomas de clivus en muy raras ocasiones se presentan como fístulas espontáneas del líquido cefalorraquídeo, ya que estos tumores no suelen invadir el plano dural. Se presenta el caso de una paciente de 61 años con rinolicuorrea espontánea secundaria a un cordoma de clivus, haciendo énfasis en secuencias específicas de resonancia magnética para la correcta identificación de un tumor con una manifestación inicial tan atípica, permitiendo una planificación quirúrgica adecuada.

Palabras clave:
Rinolicuorrea de LCR
Cordoma de clivus
Fístula de LCR
PROPELLER DWI

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