Endoscopic Endonasal Removal of a Suprasellar, Preinfundibular Retro Chiasmatic Craniopharyngioma

Case Overview: A 63-year-old female patient presented with bitemporal hemianopia and hypocorticoadrenalism. Imaging revealed a suprasellar lesion extending retrochiasmatically, prompting a surgical intervention via an endoscopic endonasal transsphenoidal transplanum approach. The procedure involved:

  • A two-nostril technique using a robotic endoscopic holder.
  • Complete tumor removal while preserving the optic chiasm and pituitary structures.
  • Postoperative recovery with improved vision and no complications.

Advancements in Craniopharyngioma Treatment: While the debate between transcranial and endonasal approaches continues, studies suggest that endoscopic endonasal methods provide superior outcomes in terms of visual recovery and reduced surgical trauma. The Endocrine Society emphasizes the importance of postoperative management to prevent complications such as panhypopituitarism.

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