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.
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.
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