DOI: https://doi.org/10.21203/rs.3.rs-2423411/v1
Chordomas are low-grade, locally invasive, frequently recurring, malignant bone tumor with poor prognosis. Cervical chordoma in adults is rare and often missed when patients present with cervical radiculopathy. They can mimic other malignant tumors and, hence require histologic distinction for prognostic risk stratification and optimal treatment. We present a 61-year-old male with chronic neck pain and sensory neuropathy in bilateral upper limbs. The patient underwent cervical discectomy and fusion which revealed a cystic mass arising from the right neural foramina at C5-C6 level. Histopathological examination of the mass was consistent with chordoma. Elderly patients with cervical radiculopathy should be evaluated for neoplasia including chordoma and differentiated from other etiologies. Early diagnosis and treatment can reduce morbidity and mortality from chordoma.