Endoscopic transoral resection for an upper cervical chordoma in a pediatric patient

Background Upper cervical chordoma (UCC) is a rare disease, and although transoral approaches are the methods of choice, minimally invasive techniques have not been established. Method We report the successful use of endoscopic transoral surgery for upper cervical chordoma at the C1–3 levels in the midline epidural space in an 8-year-old girl who presented with neck pain and quadriplegia. Three months after occipitocervical posterior fixation, endoscopic transoral surgery was performed and the tumor was nearly totally removed. Conclusion Endoscopic transoral surgery in pediatric patients with UCCs is a minimally invasive and safe technique.