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North American Skull Base Society

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2026 Proffered Presentations

2026 Proffered Presentations

 

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V010: SINGLE-STAGE EXPANDED ENDONASAL RESECTION OF GIANT CRANIOPHARYNGIOMA
Muhammad Waqas1; Lukasz Przepiorka1; Jason M Davies1; Ryan P McSpadden2; Matthew Kabalan3; 1Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY, USA; 2Department of Head & Neck/Plastic & Reconstructive Surgery, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA; 3Department of Otolaryngology, Jacobs School of Medicine & Biomedical Sciences at the University at Buffalo, Buffalo, NY, USA

A 52-year-old male presented with several months of altered mental status, confusion, and memory impairment. Imaging demonstrated a tuberoinfundibular craniopharyngioma with significant extension into the third and lateral ventricles, leading to pituitary dysfunction and cognitive decline. A staged approach was considered in the event of incomplete resection.  The patient underwent expanded endoscopic endonasal resection with planned pituitary sacrifice. Two small residual foci of enhancement adherent to the bilateral hypothalami were planned for subsequent radiosurgery treatment.

 

 

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