IMAGING FEATURE OF ECCHORDOSIS PHYSALIPHORA: A REPORT OF 2 RARE CASES
Main Article Content
Abstract
Ecchordosis physaliphora is a rare, benign lesion originating from the notochord. The lesion typically demonstrates benign imaging characteristics on MRI, showing no evidence of bone invasion or involvement of adjacent structures. It is usually located in the midline, anterior to the pons, and posterior to the clivus. Because it shares a notochordal origin with chordoma, histopathological differentiation between the two entities can be challenging. Therefore, imaging plays a crucial role in diagnosis. We report two cases illustrating the typical radiologic spectrum of this rare lesion.
Article Details
Keywords
Ecchordosis physaliphora (EP), benign tumor, chordoma, notochord
References
2. Gupta RK, Reddy TA, Gupta A, Samant R, Perez CA, Haque A. An ecchordosis physaliphora, a rare entity, involving the central nervous system: a systematic review of the literature. Neurology International, 2023; 15(4):1200–1211.
3. Toda H, Kondo A, Iwasaki K. Neuroradiological characteristics of ecchordosis physaliphora: case report and review of the literature. Journal of Neurosurgery, 1998; 89(5):830–834.
4. Park HH, Lee KS, Ahn SJ, Suh SH, Hong CK. Ecchordosis physaliphora: typical and atypical radiologic features. Neurosurgical Review, 2017; 40(1):87–94.
5. Ribbert H, Steiger H. Ueber die Ecchondrosis physalifora sphenooccipitalis. Fischer Verlag, 1894.
6. Rodriguez L, Colin J, Lopez J, Molina O, Cardozo J. Intradural prepontine growth: giant ecchordosis physaliphora or extraosseous chordoma? Neuropathology, 2005; 25(10)
7. Lakhani DA, Martin D. Ecchordosis physaliphora: case report and brief review of the literature. Radiology Case Reports, 2021; 16(12):3937–3939.
8. Toh PY, Ling S, Wong D, Tan JL. Surgically managed symptomatic ecchordosis physaliphora: a systematic review. Aust J Otolaryngol 2023;6:20.