Expanded Endoscopic Endonasal Resection of Calcified Craniopharyngioma with Stalk and Hypothalamic Preservation

This video demonstrates near-total resection of a calcified craniopharyngioma in an obese patient via an expanded endoscopic endonasal approach with stalk preservation. A thin adherent residual was left to prevent hypothalamic injury. Postoperatively, the patient required hydrocortisone but had preserved posterior pituitary and visual function. With a stable weight he had no symptoms of hypothalamic injury. This video illustrates the feasibility of stalk preservation, hypothalamic injury avoidance and perforator preservation in challenging calcified cases.

Publication History

Article published online:
07 February 2025