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KMID : 1035520130010020107
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Brain Tumor Research and Treatment : BTRT
2013 Volume.1 No. 2 p.107 ~ p.110
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Fulminant Meningitis after Radiotherapy for Clival Chordoma
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Kim Seong-Min
Park Hyun-Wook
Park Moon-Sun
Chung Seung-Young
Park Ki-Seok
Lee Do-Sung
Oh Jung-Tae
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Abstract
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The best treatment for clival chordoma is obtained with total surgical excision, sometimes combined with adjuvant radiotherapy. A cerebrospinal fluid (CSF) fistula is a fatal complication that may occur following extended transsphenoidal surgery (TSS) and adjuvant radiotherapy. We report a case of fulminant meningitis without a CSF fistula in a 57-year-old woman who underwent TSS and multiple radiotherapies for a clival chordoma. She presented to our emergency room with copious epistaxis and odor inside her nasal cavity and had an unexpected fatal outcome. She was diagnosed with meningitis based on CSF culture and blood culture. While treating clival chordomas with adjuvant radiotherapy, clinicians should be aware of the possibility of fulminant meningitis.
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KEYWORD
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Chordoma, Radiotherapy, Meningitis
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