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A rare symptomatic presentation of ecchordosis physaliphora: Neuroradiological and surgical management
  1. M Rotondo (michele.rotondo{at}unina2.it)
  1. Department of Neurosurgery Second University of Naples, Italy
    1. M Natale (massimo.natale{at}unina2.it)
    1. Department of Neurosurgery Second University of Naples, Italy
      1. G Mirone (peppemirone{at}fastwebnet.it)
      1. Department of Neurosurgery Second University of Naples
        1. M Cirillo
        1. Department of Neurosurgery Second University of Naples, Italy
          1. R Conforti
          1. Department of Neurosurgery Second University of Naples, Italy
            1. A Scuotto
            1. Department of Neurosurgery Second University of Naples, Italy

              Abstract

              The Authors report a case of Ecchordosis physaliphora , an uncommon benign lesion originating from embryonic notochordal remnants , intradurally located in the prepontine cistern, that unusually presented associated with symptoms. The Magnetic Resonance Imaging was of great use in detecting and precisely localizing the small mass. At surgery, a cystic gelatinous nodule was found ventral to the pons, contiguous with the dorsal wall of the clivus via a small pedicle. Histological examination diagnosed the lesion as an Ecchordosis physaliphora. The Authors focus especially on the analysis of the neuroradiological aspects, that play a crucial role from both a diagnostic and a therapeutic standpoint.

              • chordoma
              • clivus
              • ecchordosis physaliphora
              • magnetic Resonance
              • surgical management

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