360-surgery for a giant cervical chordoma with involvement of the right vertebral artery.

Background: Chordomas are malignant tumors that arise from the remnants of the notochord. Complete radical resection with postoperative radiation therapy is currently considered the gold standard. Here, we performed a 360-staged approach to manage a C3-C4 chordoma that involved the right vertebral artery.

Case of anterolateral migration of herniated cervical disc fragment mimicking a spinal meningioma.

Background: Before the introduction of high-resolution MR, few disc fragments were misdiagnosed as meningiomas.

Case Description: A 63-year-old female presented with a 6-month history of mild to moderate pain in the left arm, weakness 4/5 in the left arm C5-C6 distribution, and a loss of the left biceps reflex response. Although the MR study was read as showing a C5-C6 level probable spinal meningioma, this proved to be a sequestrated disc fragment at surgery.