Abstract
Objectives The current video presents the nuances of an endoscopic endonasal approach to a suprasellar
craniopharyngioma.
Design The video analyzes the presentation, preoperative workup and imaging, surgical steps
and technical nuances of the surgery, the clinical outcome, and follow-up imaging.
Setting The patient was treated by a skull base team consisting of a neurosurgeon and an
ENT surgeon, at a teaching academic institution.
Participants The case refers to a 67-year-old man who presented with vision loss and headaches,
and was found to have a suprasellar mass, with imaging characteristics consistent
with a craniopharyngioma.
Main Outcome Measures The main outcome measures consistent of the reversal of the patient symptoms (vision
loss and headaches), the recurrence-free survival based on imaging, as well as the
absence of any complications.
Results The patient's vision improved after the surgery; at his last follow-up there was
no evidence of recurrence on imaging.
Conclusions The endoscopic endonasal approach is safe and effective in treating suprasellar craniopharyngiomas.
The link to the video can be found at: https://youtu.be/p1VXbwnAWCo.
Keywords
craniopharyngioma - endoscopic endonasal - suprasellar - skull base team
