Abstract
Background: Chordoma is a rare malignant bone tumour derived from notochordal remnants, characterised by slow growth and aggressive local behaviour. Although distant metastases are increasingly recognised, dural metastasis remains exceptionally rare.
Case description: We describe the case of a 72-year-old female patient with a history of a suprasellar chordoma, initially resected 8 years ago. The patient presented with tumour recurrence at the original site and a newly identified frontal dural metastasis. Imaging revealed growth of the residual clival tumour along with a well-circumscribed dural-based lesion in the frontal convexity. Surgical management consisted of resection of the recurrent clival lesion and complete excision of the frontal dural metastasis. The procedures were well tolerated, and postoperative recovery was uneventful, with resolution of preoperative neurological symptoms. Histopathological analysis confirmed the diagnosis of recurrent chordoma and dural metastasis.
Conclusion: Dural metastasis of chordoma is an uncommon but important diagnostic entity that should be considered in patients with a history of chordoma presenting with new dural-based lesions. Early recognition is crucial to avoid misdiagnosis and guide appropriate management.
