caa a22 4500 463180461 CHVBK 20180406164837.0 cr unu---uuuuu 170326e20070401xx s 000 0 eng 10.1007/s00381-006-0281-6 doi (NATIONALLICENCE)springer-10.1007/s00381-006-0281-6 Corridor surgery: the current paradigm for skull base surgery [Elektronische Daten] [Stephen Pirris, Ian Pollack, Carl Snyderman, Ricardo Carrau, Richard Spiro, Elizabeth Tyler-Kabara, Amin Kassam] Introduction: Clival chordomas are rare tumors, especially in the pediatric population. In this report, we present the case of a 3-year-old boy who was found to have a large posterior pharyngeal, clival, and posterior fossa tumor detected on a CT scan after a closed head injury. Discussion: Further questioning revealed a history of ataxia and dysphagia. Imaging confirmed severe extrinsic brain stem compression. The tumor was resected in multiple stages utilizing a minimally invasive endoscopic endonasal technique along with open transfacetal, transcondylar approach through the carotid-vertebral window. The child suffered no permanent complications as a result of our treatment and his dysphagia significantly improved. Although a complete resection was not feasible due to vascular encasement by the tumor, extensive decompression was obtained with minimal morbidity. Conclusion: We present this case to illustrate a new paradigm of skull base surgical approaches for large clival lesions in pediatric patients that allows aggressive resection with minimal morbidity. Springer-Verlag, 2007 Chordoma nationallicence Endoscopic endonasal approach nationallicence Clival tumors nationallicence Pediatric skull base tumors nationallicence Carotid-vertebral window nationallicence Pirris Stephen Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA aut Pollack Ian Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA aut Snyderman Carl Department of Otolaryngology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA aut Carrau Ricardo Department of Otolaryngology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA aut Spiro Richard Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA aut Tyler-Kabara Elizabeth Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA aut Kassam Amin Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA aut Child's Nervous System Springer-Verlag 23/4(2007-04-01), 377-384 0256-7040 23:4<377 2007 23 381 https://doi.org/10.1007/s00381-006-0281-6 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00381-006-0281-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Pirris Stephen Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA aut NATIONALLICENCE 700 1- Pollack Ian Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA aut NATIONALLICENCE 700 1- Snyderman Carl Department of Otolaryngology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA aut NATIONALLICENCE 700 1- Carrau Ricardo Department of Otolaryngology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA aut NATIONALLICENCE 700 1- Spiro Richard Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA aut NATIONALLICENCE 700 1- Tyler-Kabara Elizabeth Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA aut NATIONALLICENCE 700 1- Kassam Amin Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA aut NATIONALLICENCE 773 0- Child's Nervous System Springer-Verlag 23/4(2007-04-01), 377-384 0256-7040 23:4<377 2007 23 381 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer