Anterior transpetrosal approach for a recurrent craniopharyngioma in a pediatric patient: two-dimensional operative video
- 1Department of Neurosurgery, Stanford University Hospital, Stanford; and
- 2Department of Pediatric Neurosurgery, Stanford University Hospital, Stanford, California
Abstract
The authors present the case of a 13-year-old patient with a recurrent cystic lesion extending into the lateral pons. A right frontotemporal craniotomy with zygomatic osteotomy and an anterior transpetrosal approach, including extradural middle fossa peeling, Kawase’s triangle petrosectomy, and transtentorial extension, provided a lateral trajectory to the brainstem. Microsurgical dissection allowed safe separation of the lesion from the superior cerebellar artery, trigeminal rootlets, and pontine surface, achieving gross-total resection. This case highlights key technical nuances of anterior transpetrosal surgery for recurrent skull base craniopharyngioma with pontine invasion.
The video can be found here: https://stream.cadmore.media/r10.3171/2026.7.FOCVID26128
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BibTeX
@article{basili2026anterior,
title = {{Anterior transpetrosal approach for a recurrent craniopharyngioma in a pediatric patient: two-dimensional operative video}},
author = {Florencia Rodriguez Basili and Vera Vigo and Maohua Ding and Masaki Ikegami and H. Westley Phillips and Juan Carlos Fernandez-Miranda},
journal = {Neurosurgical Focus: Video},
year = {2026},
month = oct,
doi = {10.3171/2026.7.focvid26128},
url = {https://doi.org/10.3171/2026.7.focvid26128},
note = {CC BY 4.0},
}
RIS
TY - JOUR
TI - Anterior transpetrosal approach for a recurrent craniopharyngioma in a pediatric patient: two-dimensional operative video
AU - Florencia Rodriguez Basili
AU - Vera Vigo
AU - Maohua Ding
AU - Masaki Ikegami
AU - H. Westley Phillips
AU - Juan Carlos Fernandez-Miranda
PY - 2026
DA - 2026/10/01
JO - Neurosurgical Focus: Video
DO - 10.3171/2026.7.focvid26128
UR - https://doi.org/10.3171/2026.7.focvid26128
AB - The authors present the case of a 13-year-old patient with a recurrent cystic lesion extending into the lateral pons. A right frontotemporal craniotomy with zygomatic osteotomy and an anterior transpetrosal approach, including extradural middle fossa peeling, Kawase’s triangle petrosectomy, and transtentorial extension, provided a lateral trajectory to the brainstem. Microsurgical dissection allowed safe separation of the lesion from the superior cerebellar artery, trigeminal rootlets, and pontine surface, achieving gross-total resection. This case highlights key technical nuances of anterior transpetrosal surgery for recurrent skull base craniopharyngioma with pontine invasion. The video can be found here: https://stream.cadmore.media/r10.3171/2026.7.FOCVID26128
SN - 2643-5217
ER -