At the Atlas Institute of Brain and Spine in Los Angeles, we specialize in providing advanced treatment options for complex conditions such as chordoma and chondrosarcoma. These rare tumors, originating from notochord remnants or cartilage, often present unique challenges in diagnosis and treatment. Led by Dr. Aaron Cohen-Gadol, a neurosurgeon known worldwide for performing highly complex brain tumor, skull base, and vascular neurosurgery, and having conducted over 7,500 surgeries, our team is dedicated to delivering comprehensive care tailored to each patient’s needs.
I am incredibly grateful to Dr. Aaron Cohen-Gadol for performing my microvascular decompression (MVD) surgery with exceptional skill, completely eliminating my spasms. Dr. Cohen-Gadol is not only a top-notch neurosurgeon but also a soft-spoken yet confident professional who clearly knows his field inside out.
Thanks to Dr. Cohen-Gadol, I’ve regained my confidence and my smile. I am forever grateful for his expertise and the care I received.
What Is Chordoma and How Does It Develop
Chordoma is a rare malignant tumor primarily located in the spine or the base of the skull. This tumor arises from the remnants of the notochord, an essential structure during early spinal development that typically disintegrates before birth. While chordomas do not often metastasize to other regions of the body, they have the potential to invade surrounding tissues, including bones, making early intervention critical. Surgical resection is the primary treatment, often involving wide resection to ensure the complete removal of the tumor along with a margin of healthy tissue.
Key Symptoms of Chordoma and Chondrosarcoma
The symptoms of chordoma can vary markedly based on the tumor’s size and location. For instance, chordomas situated at the skull base may lead to complications such as:
- Double vision and other visual disturbances
- Severe headaches
- Vertigo and hearing loss
- Numbness and facial pain
- Difficulty swallowing
In contrast, chordomas located in the lower spine can result in:
- Lower back pain and numbness
- Changes in bowel habits and incontinence
- Impotence in men
- Mobility issues


How We Diagnose Chordoma and Chondrosarcoma
Accurate diagnosis of chordoma involves advanced imaging techniques such as computed tomography (CT) and magnetic resonance imaging (MRI), which allow us to evaluate both bone and soft tissue thoroughly. A biopsy may be conducted to definitively diagnose the tumor, assess its aggressiveness, and guide treatment approaches. Our approach is complemented by cutting-edge technologies and expertise, ensuring precise diagnostic outcomes.
Surgical Techniques for Effective Tumor Removal
Surgery is often the primary treatment for chordoma, with the goal of removing as much of the tumor as possible. The surgical approach will depend on the tumor’s size, shape, and location, particularly when it is near crucial structures like nerves or blood vessels. Techniques include the expanded endonasal transsphenoidal approach, which allows access to the base of the skull through the nasal passages. Minimally invasive techniques, including endoscopic resection, aim to enhance recovery and reduce complications. Each procedure is designed with precision, utilizing advanced techniques to maximize outcomes.
Radiation Therapy Approaches to Target Chordoma
Following surgical intervention, radiation therapy may be necessary, especially in cases of tumor recurrence or inoperable tumors. Various external-beam radiation techniques target the tumor while sparing healthy tissues, and advanced modalities such as stereotactic radiosurgery may deliver higher doses of radiation with precision in a single outpatient session. Our multidisciplinary team discusses the potential benefits and risks associated with each treatment option, ensuring informed decisions tailored to each patient’s needs.
How Advanced Care at the Atlas Institute Benefits You
Choosing the Atlas Institute for your chordoma or chondrosarcoma treatment means accessing world-class care in Los Angeles, led by Dr. Aaron Cohen-Gadol, a recognized authority in neurosurgery. Our institute combines innovative surgical techniques with a compassionate approach to patient care. We pride ourselves on personalized treatment plans that cater to each patient’s unique circumstances, maximizing safe and effective outcomes through evidence-based practices. As a Health Care Hero of the Year and a recipient of the Vilhelm Magnus Medal, Dr. Cohen-Gadol’s leadership exemplifies our commitment to exceptional care.

Frequently Asked Questions About Chordoma and Chondrosarcoma
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Chordomas tend to be diagnosed in individuals between the ages of 40 and 70, although they can occur at any age.
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The rate of recurrence for chordomas is relatively high, necessitating regular follow-up care and monitoring as part of a comprehensive treatment strategy.
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Radiation therapy is often utilized after surgery to minimize tumor recurrence and may also aid in managing symptoms for inoperable tumors.
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Yes, ongoing research may offer access to clinical trials that explore new therapeutic options for chordoma patients.

Why Choose Us
Here are compelling reasons to select the Atlas Institute of Brain and Spine for your chordoma and chondrosarcoma treatment:
- Board-certified surgeon Dr. Aaron Cohen-Gadol has over 7,500 complex brain surgeries to his name.
- Access to cutting-edge surgical techniques and advanced radiation therapy options.
- Comprehensive, individualized care with a focus on long-term recovery and support.
- Multidisciplinary team that collaborates to optimize treatment plans tailored to each patient’s needs.
- Improved patient outcomes stemming from precision techniques and meticulous surgical planning.
Schedule Your Consultation Today
If you or a loved one are facing a diagnosis of chordoma or chondrosarcoma, it is essential to consult with a highly trained specialist. Dr. Aaron Cohen-Gadol and his expert team at the Atlas Institute of Brain and Spine in Los Angeles are here to provide the highest level of care and support throughout your treatment journey. Reach out to us today to schedule your consultation and take the next step towards understanding your treatment options.
