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Description

Notochord embryonic rests occurring in the skull can cause sudden death.


Notochord embryonic rests:

(1) benign: ecchordosis physaliphora

(2) malignant: chordoma

 

These tumors occur primarily at the base of the skull (clivus) or the sacral region, but can occur anywhere in-between along the neuraxis.

 

Sudden death with tumors at the cephalic end (clivus) can occur due to:

(1) hemorrhage

(2) acute obstructive hydrocephalus

 

Pathologic features

(1) gelatinous and semi-translucent mass

(2) located at the ventral surface of midbrain or pons.


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