Staged endoscopic endonasal and bifrontal interhemispheric resection of a giant craniopharyngioma: a two-corridor maximal safe resection strategy
Year: 2026
Type: article
Study design: Case Report
Abstract: This video illustrates decision-making in modern maximal safe resection of a giant transinfundibular craniopharyngioma. The case highlights the selective use of complementary corridors to address distinct anatomical compartments while minimizing traction on critical neurovascular and hypothalamic interfaces. The first stage prioritizes urgent ventral decompression of the optic apparatus, third ventricle, and prepontine cistern; the second stage targets a fixed superior suprasellar/anterior third ventricular cystic component. The central lesson is that maximal safe resection is not defined by a single corridor, but by combining complementary routes to achieve durable resection while protecting critical hypothalamic, visual, and vascular interfaces. The video can be found here: https://stream.cadmore.media/r10.3171/2026.7.FOCVID26121.
Source: Neurosurgical Focus Video
Language: English
Subfield: Endocrinology, Diabetes and Metabolism
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7214021403
