Endoscopic endonasal approach to the cavernous sinus

Craniopharyngiomas are challenging tumors that most frequently occur in the sellar or suprasellar region. The microscopic or endoscopic transsphenoidal approach is the preferred approach for sellar lesion with or without suprasellar extension. Recently, the extended endoscopic endonasal transsphenoidal approach has been proposed as an alternative route to transcranial approach for supradiaphragmatic lesion with or without ventricular extension. We are reporting a case of an intra- and supra-sellar retroinfundibular and ventricular craniopharyngioma that was treated using an extended endonasal endoscopic approach.

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