Endoscopic endonasal transclival approach for clivus chordoma

• A rare case of multifocal chordoma involving the lower clivus and multiple spine levels: illustrative case
• Extreme Lateral Approach to the Craniocervical Junction, Operative Technique and Approach Essentials: 2-Dimensional Operative Video
• Evaluation of Long-Term Follow-Up in Ecchordosis Physaliphora versus Chordoma
• Contemporary surgical management of skull base chordomas-Anatomical reflections on a single center experience retrospective case series
• Symptomatic ecchordosis physaliphora of the upper clivus: an exceedingly rare entity
• The benefits of inferolateral transtubercular route on intradural surgical exposure using the endoscopic endonasal transclival approach
• Endoscopic endonasal transclival removal of tumors of the clivus and anterior region of the posterior cranial fossa (results of surgical treatment of 140 patients)
• The management of clival chordomas: an Italian multicentric study

Endoscopic endonasal transclival approach for clivus chordoma is a feasible and safe surgical access for many ^{1) 2) 3)}.

For large tumors intraoperative MRI (IMRI) is of significant help. Dural reconstruction of large defects emerged as the greatest challenge of this technique even for experienced endoscopic surgeons ⁴⁾.