Endoscopic endonasal resection of giant pediatric craniopharyngioma: impact on hypothalamic edema

Endoscopic endonasal resection of giant pediatric craniopharyngioma: impact on hypothalamic edema

Mina M. Gerges, MD,1 Brett Youngerman, MD,1 Vijay K. Anand, MD,2 Jeffrey P. Greenfield, MD, PhD,1 and Theodore H. Schwartz, MD1–3

Departments of 1Neurosurgery, 2Otolaryngology, and 3Neuroscience, Weill Cornell Medicine, NewYork-Presbyterian Hospital, New York, New York

Include when citing: Published online April 1, 2020; DOI: http://thejns.org/doi/abs/10.3....171/2020.4.FocusVid.

An 8-year-old child presented with fatigue, weight loss, and visual deterioration. MRI demonstrated a craniopharyngioma with compression of the optic chiasm and extensive edema on the hypothalamus and optic radiations. The tumor was completely removed via an endoscopic endonasal approach. Postoperatively, vision improved and hypothalamic edema completely resolved within 5 days. This video demonstrates the technical nuances of the surgery and discusses the impact of surgery on the hypothalamic nuclei in pediatric patients.


**Intro music: "Daybreak" by Graeme Rosner