Work

Endoscopic endonasal management of giant pediatric craniopharyngioma

Year: 2026

Type: article

Abstract: A 13-year-old girl with growth deceleration and multiple endocrinopathies was found to have a giant adamantinomatous craniopharyngioma with hydrocephalus. She underwent an endoscopic endonasal approach with gross-total resection of the tumor with preservation of the hypothalamus. Postoperatively she developed expected panhypopituitarism given pituitary stalk involvement but had no neurological deficits. On 3-year follow-up, there was no tumor recurrence, hypothalamic dysfunction, or hydrocephalus. Pediatric craniopharyngioma remains challenging to manage given complex patterns of spread and proximity to critical neurovascular structures. Advancements in endoscopic techniques have allowed for dynamic visualization and excellent suprasellar access with high cure rates and low morbidity. The video can be found here: https://stream.cadmore.media/r10.3171/2026.7.FOCVID2656.

Source: Neurosurgical Focus Video

DOI: 10.3171/2026.7.focvid2656

Authors: Michael Z. Cheng, Bastien A. Valencia, Jeeho D. Kim, Michael G. Brandel, John R. Crawford, Jillian Plonsker, Vijay A. Patel, Michael L. Levy

Institutions: Kaiser Permanente, Rady Children's Hospital-San Diego, Kaiser Permanente Anaheim Medical Center, Mayo Clinic, Naval Medical Center San Diego, University of California San Diego, University of California, Irvine

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: W7214047332

FWCI:

Cites: 10

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Related to: 10