Expanded Endoscopic Endonasal (EEA) Approach for Resection of a Partly Calcified Pediatric Cystic Craniopharyngioma
Abstract
A 6-year-old boy presented with progressive visual decline and behavioral changes. Pre-operative MRI demonstrated a large cystic sellar and suprasellar lesion compressing the optic chiasm, consistent with craniopharyngioma. An image-guided Ommaya reservoir was inserted for cyst decompression and optic apparatus relief. Definitive resection was performed two months later via an expanded endoscopic endonasal approach, achieving near-total resection. Postoperatively, vision improved, and the patient developed new diabetes insipidus following planned pituitary stalk sacrifice. 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
Pituitary Gland Disorders and Treatments
Head and Neck Surgical Oncology
Neuroendocrine Tumor Research Advances
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