Work

Management of a giant pediatric craniopharyngioma: staged endoscopic endonasal and cranial approaches

Year: 2026

Type: article

Abstract: This report presents a complex case of an 8-year-old female with a giant 8-cm adamantinomatous craniopharyngioma. She had a mixed solid/cystic, multicompartmental tumor with brainstem compression, vascular encasement, obstructive hydrocephalus, and acute stroke on presentation. After neurological improvement with an external ventricular drain, she underwent an extended endonasal approach followed by a left supraorbital craniotomy to address the residual lateral tumor. We achieved a near gross-total resection with improvement in visual acuity, neurocognitive function, and hemiparesis. This case demonstrates that staged skull base approaches can lead to clinically significant and safe resections in the pediatric population. The video can be found here: https://stream.cadmore.media/r10.3171/2026.7.FOCVID26136.

Source: Neurosurgical Focus Video

DOI: 10.3171/2026.7.focvid26136

Authors: Akshay V. Save, Stella Chung, Carlos Pinheiro-Neto, Paul A. Gardner, Yosef M. Dastagirzada

Institution: NYU Langone Health

Language: English

Topic: Pituitary Gland Disorders and Treatments

Subfield: Endocrinology, Diabetes and Metabolism

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W7214011784

FWCI:

Cites: 5

Cited by:

Related to: 10