Endoscopic Resection of Clival Chordoma

Clival chordomas are rare tumours with a notochordal origin that are classically multilocular gelatinous lesions. Due to their location, endoscopic endonasal resection is an option to optimize extent of resection whilst also balancing risk to critical neurovascular structures. Nonetheless, patients may be at high risk of recurrence therefore the potential for adjuvant treatment with radiotherapy or proton beam therapy should always be considered.