Considerations for excisional biopsy of benign-appearing notochordal lesions
| Considerations |
|---|
| Tumor size: >3 cm |
| Tumor margins: local invasion |
| Rate of growth: any appreciable growth on MR imaging |
| Radiology: bony erosion, enhancement |
| Patient age: <30 years |
| Surgical candidacy: lack of comorbidities |
| Symptoms: headache attributable to central skull base; cranial neuropathy |
| Patient preference |