Excision of pediatric craniopharyngioma with complicated features: the value of additional "tailored" cavernous sinus exposure in the standard pterional approach
- 1Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute, Lucknow, Uttar Pradesh; and
- 2Department of Pathology, Sanjay Gandhi Postgraduate Institute, Lucknow, Uttar Pradesh, India
Abstract
Excision of craniopharyngioma (CP) can be challenging. Pediatric CPs pose the unique challenge of ensuring a satisfactory onco-functional balance while navigating the limited therapeutic options in this age group. Here the authors present the value of "tailored" cavernous sinus exposure and neurovascular mobilization to minimize the inevitable and, at times, potentially harmful manipulation of the optic and oculomotor nerves associated with an anterolateral transcranial approach. This additional surgical step also ensures an inferior-to-superior surgical trajectory through a caudal durotomy, significantly improving the tumor-hypothalamus interface visualization, which is otherwise a limitation of the pterional approach.
The video can be found here: https://stream.cadmore.media/r10.3171/2026.7.FOCVID25239
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BibTeX
@article{das2026excision,
title = {{Excision of pediatric craniopharyngioma with complicated features: the value of additional "tailored" cavernous sinus exposure in the standard pterional approach}},
author = {Kuntal Kanti Das and Chandana Kanuru and Shreyash Rai and Neha Nigam and Kamlesh Singh Bhaisora and Arun Kumar Srivastava},
journal = {Neurosurgical Focus: Video},
year = {2026},
month = oct,
doi = {10.3171/2026.7.focvid25239},
url = {https://doi.org/10.3171/2026.7.focvid25239},
note = {CC BY 4.0},
}
RIS
TY - JOUR
TI - Excision of pediatric craniopharyngioma with complicated features: the value of additional "tailored" cavernous sinus exposure in the standard pterional approach
AU - Kuntal Kanti Das
AU - Chandana Kanuru
AU - Shreyash Rai
AU - Neha Nigam
AU - Kamlesh Singh Bhaisora
AU - Arun Kumar Srivastava
PY - 2026
DA - 2026/10/01
JO - Neurosurgical Focus: Video
DO - 10.3171/2026.7.focvid25239
UR - https://doi.org/10.3171/2026.7.focvid25239
AB - Excision of craniopharyngioma (CP) can be challenging. Pediatric CPs pose the unique challenge of ensuring a satisfactory onco-functional balance while navigating the limited therapeutic options in this age group. Here the authors present the value of "tailored" cavernous sinus exposure and neurovascular mobilization to minimize the inevitable and, at times, potentially harmful manipulation of the optic and oculomotor nerves associated with an anterolateral transcranial approach. This additional surgical step also ensures an inferior-to-superior surgical trajectory through a caudal durotomy, significantly improving the tumor-hypothalamus interface visualization, which is otherwise a limitation of the pterional approach. The video can be found here: https://stream.cadmore.media/r10.3171/2026.7.FOCVID25239
SN - 2643-5217
ER -