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V012: ENDOSCOPIC ENDONASAL RESECTION OF PURELY INTRAVENTRICULAR CRANIOPHARYNGIOMA
Muhammad Waqas¹; Lukasz Przepiorka¹; Jason M Davies¹; Ryan P McSpadden²; Matthew J Kabalan³; Hanna N Algattas¹; 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

Purely intraventricular craniopharyngiomas (Kassam type IV) are regarded as inaccessible via an endonasal approach due to risk of hypothalamic injury. We present a 61-year-old female with hypopituitarism, including diabetes insipidus and anterior pituitary dysfunction and a cystic–solid suprasellar mass arising within the third ventricle and above the infundibulum. Expanded endoscopic endonasal transtuberculum resection achieved near-total removal, sparing tumor adherent to the hypothalamus/optic tracts with planned radiosurgery to the adherent residual.

 

 

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