Chordomas arise from remnants of the primitive notochord, a structure involved in early spinal development. While rare, they are locally invasive and often recur if not completely removed. These tumors typically occur at the skull base or sacrum, making surgery difficult due to their proximity to the brainstem, spinal cord, and critical nerves. Common symptoms include persistent headaches, double vision, difficulty with balance, numbness, or weakness. Despite being slow-growing, chordomas are destructive to bone and surrounding tissues. Their complexity requires advanced surgical techniques and a multidisciplinary approach. Understanding their behavior and recurrence risk is essential in planning treatment strategies that maximize removal while minimizing long-term complications.
Diagnosis begins with MRI and CT imaging to evaluate tumor extent, bone involvement, and compression of critical structures. Sometimes PET scans are used to differentiate recurrence from scar tissue. Preoperative planning involves neuronavigation systems and 3D imaging to map precise surgical pathways while avoiding vital nerves and vessels. Functional assessments such as cranial nerve evaluation and neurological exams are crucial before surgery. In skull base chordomas, endoscopic approaches through the nasal passages may be considered, while larger tumors may require open craniotomy. At Yashoda Hospitals, advanced surgical planning ensures maximum precision. Dr. Vamsi Krishna integrates imaging, navigation, and surgical expertise to create tailored treatment strategies for each patient.
Surgery is the cornerstone of chordoma management, aiming for maximum safe resection. Endoscopic endonasal surgery is often used for skull base chordomas, providing minimally invasive access with reduced trauma. In cases where the tumor extends widely, microsurgical craniotomy may be required to achieve better exposure. For spinal chordomas, advanced spine surgery techniques like vertebral resection or stabilization may be performed. Since complete removal can be difficult, adjuvant radiotherapy (proton beam or stereotactic radiosurgery) is often recommended to control residual tumor growth. Dr. Vamsi Krishna is skilled in both minimally invasive and traditional approaches, carefully selecting techniques that optimize tumor clearance while preserving neurological function and patient safety.
Recovery after chordoma surgery depends on tumor size, location, and surgical complexity. Patients often notice relief from pain, headaches, or neurological deficits after successful removal. However, due to the tumor’s proximity to critical nerves, some may require rehabilitation for speech, swallowing, or mobility. Postoperative care often includes physiotherapy, cranial nerve rehabilitation, and pain management. Regular imaging follow-ups are essential, as chordomas carry a high risk of recurrence. Hormonal and nutritional support may also be necessary in skull base surgeries affecting the pituitary region. Dr. Vamsi Krishna ensures structured recovery plans, close monitoring, and long-term rehabilitation support, helping patients regain independence and improved quality of life.
Chordoma surgery requires advanced expertise and specialized infrastructure due to its rare and challenging nature. Dr. Vamsi Krishna, Consultant Neurosurgeon at Yashoda Hospitals, Hitech City, Hyderabad, has extensive experience in treating complex skull base and spinal tumors. With access to world-class facilities, including neuronavigation, intraoperative monitoring, and high-definition endoscopes, he provides safe and effective surgical care. His multidisciplinary approach ensures collaboration with radiation oncologists and rehabilitation specialists, offering comprehensive treatment under one roof. Patients benefit from his patient-centered care, compassionate communication, and precision-driven surgical outcomes. For individuals diagnosed with chordomas, Dr. Vamsi Krishna is a trusted expert, delivering advanced neurosurgical solutions with safety, innovation, and long-term results.
