DOI: 10.36347/sjmcr.2022.v10i06.005

Pages: 521-524

Chordoma is a rare neoplasm derived from remnants of the fetal notochord; the most commun locations are the lumbosacral spineand the clivus. Clival chordomas represent 35 to 40% of cases and are very difficult to treat because of the localization and high recurrence rate. We present the case of 60 years old male patient with no previous history consulting for diplopia and headach that worsened in the last week before the diagnosis, with a walking ability disorder. Neurological examination found a raised intracranial pressure syndrome with static cerebellar syndrome. However, he presented left hemifacial numbness due to left fifth cranial nerve palsy and diplopia at left gaze due to left sixth cranial nerve palsy. The diagnosis was made by MRI using the different sequences especially T1 SE, T1 GE, T2 FLAIR, DWI and spectroscopy.