{"id":"d67aefd4-2db4-4b39-8744-3f040b0db4b5","slug":"a-case-of-ecchordosis-physaliphora-presenting-with-an-abducens-nerve-palsy-a-rare-symptomatic-case-managed-with-endoscopic-endonasal-transsphenoidal-surgery","title":"A case of ecchordosis physaliphora presenting with an abducens nerve palsy: A rare symptomatic case managed with endoscopic endonasal transsphenoidal surgery","authors":["Takahiro Yamamoto","Shigetoshi Yano","Takuichiro Hide","Jun-ichi Kuratsu"],"abstract":"Background: Ecchordosis physaliphora (EP) is a benign notochordal remnant that is usually asymptomatic; symptomatic cases are extremely rare. Most of the reported symptomatic cases were managed by resection via craniotomy. Case Description: We report a case of a 20-year-old male presenting with abducens nerve palsy. Magnetic resonance imaging performed on admission demonstrated a mass in the retroclival prepontine location. The patient was treated successfully by endoscopic endonasal trans-sphenoidal surgery (ETSS), his postoperative course was uneventful, and the abducens nerve palsy disappeared. Conclusion: ETSS has advantages not only for treatment but also for differentiation between EP and intradural chordoma. This is the first case of symptomatic EP successfully treated solely by ETSS.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/d67aefd4-2db4-4b39-8744-3f040b0db4b5/featured/hero-1782420913087.png","publishDate":"2013-01-28T00:00:00.000Z","doi":"10.4103/2152-7806.106562","categories":["Original Article"],"fullTextUrl":"http://sni.wpengine.com/wp-content/uploads/2015/05/4448/SNI-4-13.pdf"}