Clival Chordoma Presenting as Acute Esotropia due to Bilateral Abducens Palsy

Authors:
  • SYSawamura Y.B
    Sawamura Y.B
  • ITIto T.C
    Ito T.C
  • NKNagashima K.C
    Nagashima K.C

Abstract
A case involving a 14-year-old girl having clival chordoma with symptoms of diplopia, acute esotropia, and bilateral abducens palsy is reported. Magnetic resonance imaging revealed a clival tumor invading the posterior edges of the bilateral cavernous sinuses. After removal of the tumor, no ocular manifestations were noted. The importance of acute esotropia as a sign indicating a possible brain-stem mass is emphasized.