Clival Chordoma and its Management: A Case Report Highlighting a Multidisciplinary Approach to Achieve Optimal Outcomes

Abstract Background: Chordomas are a group of rare malignant bone tumors that are slow-growing but locally invasive and are associated with a grim prognosis. Chondromas of the skull base have a typical presentation of persistent headaches and the mass effect over adjacent critical neural structures. Sixty five percent of chordomas are reported to originate from the sacrum, and that from the clivus is rare. Case Presentation: A 51-year-old male without co-morbidities presented to our center with diplopia and on radiological evaluation was found to be a case of clival chordoma. This case report highlights the evaluation and surgical resection of chordomas. Conclusion: Standardized guidelines do not outline treatment options for clival chordoma. Endoscopic total resection of the tumor followed by novel methods of radiotherapy have favorable outcomes for the patient. Postoperative rehabilitation and follow-up of the patient will help identify recurrence cases and their appropriate management.