J Neurol Surg B Skull Base 2025; 86(S 01): S1-S576
DOI: 10.1055/s-0045-1803537
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Endoscopic Endonasal “Hypothalamic-Sparing” Resection of a Large Multi-cystic Craniopharyngioma

Prakash Nair
1   Sree Chitra Tirunal Institute for Medical science and Technology, Trivandrum, Kerala, India
,
M. Gowtham
1   Sree Chitra Tirunal Institute for Medical science and Technology, Trivandrum, Kerala, India
,
Akhilesh Gowda
1   Sree Chitra Tirunal Institute for Medical science and Technology, Trivandrum, Kerala, India
,
Ashutosh Carpenter
1   Sree Chitra Tirunal Institute for Medical science and Technology, Trivandrum, Kerala, India
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Craniopharyngiomas in the retrochiasmatic space may extend into the third ventricle. The extended endoscopic endonasal approach (EEEA) provides direct access to the tumor with minimal manipulation of the perforating arteries from the circle of Willis, avoiding brain retraction. EEEA allows a clear view of the hypothalamic wall and tumor interface, preventing hypothalamic injury. In this case, the tumor, located between the optic tract and hypothalamus, was completely resected while preserving the hypothalamus and vascular perforators.



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Artikel online veröffentlicht:
07. Februar 2025

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