Endoscopic Transclival Approach to Ventral Cervicomedullary Junction Pilocytic Astrocytoma
Abstract
A 27-year-old female presented with headaches and was found to have a large ventral cervicomedullary junction tumor. We performed an endoscopic transclival tumor resection, using 70° endoscope and angled instruments, which allowed enhanced visualization and precise dissection of the inferior margin without disruption of craniocervical junction stability. The pathology of pilocytic astrocytoma is also quite uncommon in this location. This approach demonstrates the versatility of angled endoscopic minimally invasive techniques. Publication History Article published online: 27 February 2026 © 2026. Thieme. All rights reserved. Georg Thieme Verlag KG Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany
Fields of Study & Subjects
Head and Neck Surgical Oncology
Meningioma and schwannoma management
Glioma Diagnosis and Treatment
Publication details
- Journal / source
- Journal of Neurological Surgery Part B Skull Base
- Volume
- 87
- Issue
- S 01
- Pages
- S1–S548
- Publication date
- 27 February 2026
- Language
- EN