Abstract
Objectives Extended endoscopic approaches are useful for resection of selected craniopharyngiomas.
Midline, extraventricular, and predominantly cystic lesions are good candidates for
endoscopic resection. In this video, we demonstrate the endoscopic endonasal resection
of a large suprasellar craniopharyngioma and discuss the nuances of the surgical technique.
Design/Setting Surgical video of an extended endoscopic approach for resection of a suprasellar
craniopharyngioma.
Results We report the case of a 56-year-old woman who presented with bitemporal hemianopsia
and visual acuity deterioration secondary to a large suprasellar solid–cystic lesion.
The patient underwent an extended endoscopic transtuberculum approach for resection
of the lesion, which was diagnosed as a papillary craniopharyngioma. This video discusses
the anatomy and surgical technique applied for endoscopic resection of such lesions.
Conclusion Endoscopic endonasal surgery is a useful technique for management of craniopharyngiomas.
It is associated with good clinical outcomes in selected cases. Complications, such
as postoperative CSF leak, may occur and should be carefully managed.
The link to the video can be found at: https://youtu.be/EneOCiQE7yo.
Keywords
craniopharyngiomas - tuberculum - endoscopic - extended - endonasal
