Background:
Clival chordomas are a rare type of cancer with low metastatic potential and primary metastasize to the lung or bones.
Case description:
This case report describes a possible metastatic, paravertebral chordoma at level C4-C5 in a patient with a past medical history of a clival chordoma.
Conclusion:
Chordomas are unpredictable and may metastasise.