2025 Proffered Presentations
V131: EXPANDED ENDOSCOPIC ENDONASAL RESECTION OF CALCIFIED CRANIOPHARYNGIOMA WITH STALK AND HYPOTHALAMIC PRESERVATION
Adam Nunn; Patricio Gimenez; Mahmoud Asad; Faisal Hassan; Naveen Setty; Warren Bennett; Kumar Abhinav; Southmead Hospital
This video demonstrates near-total resection of a calcified craniopharyngioma in an obese patient via an expanded endoscopic endonasal approach with stalk preservation. A thin adherent residual was left to prevent hypothalamic injury. Post-operatively, the patient required hydrocortisone but had preserved posterior pituitary and visual function. With a stable weight he had no symptoms of hypothalamic injury. This video illustrates the feasibility of stalk preservation, hypothalamic injury avoidance and perforator preservation in challenging calcified cases.