A 17-year-old female presents with a chordoma at the craniovertebral junction with
intracranial extension. She underwent endoscopic approach for resection of the mass
via a trans-clival technique. The patient did well with near-total resection and multi-layered
skull base reconstruction, and was subsequently discharged home.
The patient developed CSF leak on post-op day 20 and was readmitted for imaging revealing
pneumocephalus. We proceeded forward with revision, vascularized reconstruction via
endoscopic inset of serratus free flap for repair.
