Keyhole endoscopic resection of pediatric craniopharyngioma via a precoronal transventricular transforaminal approach: “small door, big win.”
- 1Department of Neurosurgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow; and
- 2Department of Pathology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
Abstract
A 5-year-old boy with progressive headache, seizures, and drowsiness was diagnosed with multicystic calcified craniopharyngioma occupying the third ventricle and reaching up to the lateral ventricle through widened foramen of Monro. A neuroendoscope-assisted transcortical transventricular transforaminal approach was employed. This approach facilitated gross-total excision with no CSF leak, leveraging the shorter and quicker route. Compared with endoscopic transnasal approaches, it avoids nasal morbidity, and in contrast to transcranial approaches, it eliminates brain retraction and neurovascular manipulation. The patient recovered uneventfully with significant symptomatic improvement. Postoperative imaging confirmed near total excision of the tumor, highlighting this approach’s superiority for selected intraventricular craniopharyngiomas
The video can be found here: https://stream.cadmore.media/r10.3171/2026.7.FOCVID26137
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BibTeX
@article{shukla2026keyhole,
title = {{Keyhole endoscopic resection of pediatric craniopharyngioma via a precoronal transventricular transforaminal approach: “small door, big win.”}},
author = {Abhishek Shukla and Awadhesh Kumar Jaiswal and Vikas Vishwakarma and Sushila Jaiswal and Anant Mehrotra and Soumen Kanjilal and Shreyash Rai},
journal = {Neurosurgical Focus: Video},
year = {2026},
month = oct,
doi = {10.3171/2026.7.focvid26137},
url = {https://doi.org/10.3171/2026.7.focvid26137},
note = {CC BY 4.0},
}
RIS
TY - JOUR
TI - Keyhole endoscopic resection of pediatric craniopharyngioma via a precoronal transventricular transforaminal approach: “small door, big win.”
AU - Abhishek Shukla
AU - Awadhesh Kumar Jaiswal
AU - Vikas Vishwakarma
AU - Sushila Jaiswal
AU - Anant Mehrotra
AU - Soumen Kanjilal
AU - Shreyash Rai
PY - 2026
DA - 2026/10/01
JO - Neurosurgical Focus: Video
DO - 10.3171/2026.7.focvid26137
UR - https://doi.org/10.3171/2026.7.focvid26137
AB - A 5-year-old boy with progressive headache, seizures, and drowsiness was diagnosed with multicystic calcified craniopharyngioma occupying the third ventricle and reaching up to the lateral ventricle through widened foramen of Monro. A neuroendoscope-assisted transcortical transventricular transforaminal approach was employed. This approach facilitated gross-total excision with no CSF leak, leveraging the shorter and quicker route. Compared with endoscopic transnasal approaches, it avoids nasal morbidity, and in contrast to transcranial approaches, it eliminates brain retraction and neurovascular manipulation. The patient recovered uneventfully with significant symptomatic improvement. Postoperative imaging confirmed near total excision of the tumor, highlighting this approach’s superiority for selected intraventricular craniopharyngiomas The video can be found here: https://stream.cadmore.media/r10.3171/2026.7.FOCVID26137
SN - 2643-5217
ER -