Benign notochordal cell tumor

Case contributed by Wen Jak Ma
Diagnosis probable

Presentation

Chronic headache

Patient Data

Age: 50 years
Gender: Female
mri

Elongated band-like lesion in central clivus, dark on T1, bright on T2.

CT is almost normal, with subtle sclerosis in the region of MR abnormality.

mri

MR cervical spine from 5 years prior with Sagittal T2 to better illustrate the bright T2 signal. Lesion has been stable.

Case Discussion

Not many differential diagnosis is available. Benign persistent notochordal tissue is one of the possibilities. Various evolving terms have been used in the literature e.g. notochordal rests, tumor, hamartoma - all suggest benignity.

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