Objective: To explore the clinical, imaging and pathological features of chordoid meningioma (CM). Methods: Retrospectively analysis the clinicopathologic features of 15 CM and review related literatures. Results: There was obvious female preponderance with male to female ratio of 4:11, the average age is 47.4 (15-71) years old. Mostly happens in the convex of frontal and parietal lobe, sphenoid ridge. Clinical symptoms including headache, blurred vision, weakness of limbs, facial paresthesia and slurred speech, and so on. Imaging mainly manifests the typical features of meningiomas, such as clear boundaries, dural tail sign and high-low mixed signs caused by mucus. Microscopically, in addition to the typical meningioma, there were different proportion of chordoid components (20%~100%), that was, tumor cells arrange to cords, mesh-like, false daisy-type groups or nest pattern in the background of basophilic mucus. Cells show epithelioid or fat spindle, with an abundant of eosinophilic cytoplasm. Some contain lipid droplet-like vacuoles. Immunohistochemically and histochemically, vimentin, EMA, PR and PAS were positive, and S-100, CK and D2-40 are focal positive, and GFAP was negative, proliferation index of Ki-67 with an average of 3% (1%~10%). A total of 13 cases were performed total removal, including one case which given radiotherapy after operation, and two cases for subtotal removal. Follow-up time ranges from 1-120 months. Two cases recurred after operation, and all the rest remain free of chordoid meningiomas. Conclusion: Chordoid meningiomas occur in middle-aged women, with diverse clinical symptoms. Imaging are suggestive when meningioma has typical features, whereas easily misdiagnosis. Diagnosis and differential diagnosis depends on the morphology and immunohistochemistry. The prognosis of CM is closely related to the degree of surgical resection. Patients with subtotally resect are suggested to accept postoperative radiotherapy.