Transsylvian opticocarotid resection of a stony craniopharyngioma with midbrain and ventricular extension
- 1Department of Neurosurgery, Etlik City Hospital, Ankara, Turkey
Abstract
A 20-year-old male with a densely calcified craniopharyngioma involving the third ventricle and interpeduncular cistern underwent transsylvian resection with zygomatic osteotomy. After the lamina terminalis window proved inadequate, the approach was shifted to the opticocarotid corridor. The stony tumor required mechanical debulking with microscissors, Kerrison rongeurs, and pituitary curettes. A controlled "milking" maneuver delivered the soft ventricular component while preserving hypothalamic integrity. A small basilar artery remnant was intentionally left, achieving near-total resection. Postoperatively, visual fields remained intact; only transient diabetes insipidus occurred. This case illustrates intraoperative flexibility and mechanical debulking as a safe, effective strategy for heavily calcified craniopharyngiomas.
The video can be found here: https://stream.cadmore.media/r10.3171/2026.7.FOCVID2673
Related
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BibTeX
@article{sahin2026transsylvian,
title = {{Transsylvian opticocarotid resection of a stony craniopharyngioma with midbrain and ventricular extension}},
author = {Omer Selcuk Sahin and Muhammed Yusuf Hamurcu and Samet Dinc},
journal = {Neurosurgical Focus: Video},
year = {2026},
month = oct,
doi = {10.3171/2026.7.focvid2673},
url = {https://doi.org/10.3171/2026.7.focvid2673},
note = {CC BY 4.0},
}
RIS
TY - JOUR
TI - Transsylvian opticocarotid resection of a stony craniopharyngioma with midbrain and ventricular extension
AU - Omer Selcuk Sahin
AU - Muhammed Yusuf Hamurcu
AU - Samet Dinc
PY - 2026
DA - 2026/10/01
JO - Neurosurgical Focus: Video
DO - 10.3171/2026.7.focvid2673
UR - https://doi.org/10.3171/2026.7.focvid2673
AB - A 20-year-old male with a densely calcified craniopharyngioma involving the third ventricle and interpeduncular cistern underwent transsylvian resection with zygomatic osteotomy. After the lamina terminalis window proved inadequate, the approach was shifted to the opticocarotid corridor. The stony tumor required mechanical debulking with microscissors, Kerrison rongeurs, and pituitary curettes. A controlled "milking" maneuver delivered the soft ventricular component while preserving hypothalamic integrity. A small basilar artery remnant was intentionally left, achieving near-total resection. Postoperatively, visual fields remained intact; only transient diabetes insipidus occurred. This case illustrates intraoperative flexibility and mechanical debulking as a safe, effective strategy for heavily calcified craniopharyngiomas. The video can be found here: https://stream.cadmore.media/r10.3171/2026.7.FOCVID2673
SN - 2643-5217
ER -