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American Journal of Roentgenology, Vol 100, 639-649, Copyright © 1967 by American Roentgen Ray Society

CHORDOMA OF THE CLIVUS

A REPORT OF FOUR CASES

HANS F. PLAUT M.D.1 and ETHYL S. BLATT M.D.1

1 From the Radiology Services of the Veterans Administration Center, Dayton, Ohio and Ohio State University, Veterans Administration Hospital, Cincinnati General Hospital, Daniel Drake Memorial Hospital, Cincinnati, Ohio and University of Cincinnati, College of Medicine

1. Chordoma of the clivus is a rare invasive and destructive tumor. It may grow rapidly, but metastasizes very seldom.

2. Roentgen examination will often show osteolysis of the clivus. Calcification within the tumor occurs more frequently than reported in the past.

3. Vertebral angiograph demonstrates the displacement of the basilar artery and its components by the clivus tumor.

4. Forward extension of the neoplasm and hydrocephalus produce changes in the carotid arteriogram.

5. The venous phase may offer valuable clues.

6. Air and oil contrast studies may reveal encroachment upon the third, fourth, and lateral ventricles, aqueduct and cisterns.


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Copyright © 1967 by the American Roentgen Ray Society.