Multimodal Intraoperative Image-Driven Surgery for Skull Base Chordomas and Chondrosarcomas

Abstract

Given the difficulty and importance of achieving maximal resection in chordomas and chondrosarcomas, all available tools offered by modern neurosurgery are to be deployed for planning and resection of these complex lesions. As demonstrated by the review of our series of skull base chordoma and chondrosarcoma resections in the Advanced Multimodality Image-Guided Operating (AMIGO) suite, as well as by the recently published literature, we describe the use of advanced multimodality intraoperative imaging and neuronavigation as pivotal to successful radical resection of these skull base lesions while preventing and managing eventual complications.

Keywords

• chordomas
• chondrosarcoma
• intraoperative MRI
• multimodal imaging
• neuronavigation
• resection