"The most challenging intracranial tumor"
Craniopharyngiomas are one of the most challenging brain tumors and given their rarity and complexity should only be treated by highly experienced surgeons at comprehensive skull base centers. They arise from the pituitary stalk at the center of the base of the skull and may involve critical structures such as the brain’s hypothalamus, visual pathways, and deep brain vessels.
Long considered pathologically benign, craniopharyngioma is now classified as a low-grade malignancy that shortens life expectancy. An experienced multidisciplinary team (neurosurgery, ENT, endocrinology, ophthalmology, radiation therapy) is essential for the optimal treatment of both pediatric and adult patients. In fact, short- and long-term outcomes are directly related to the expertise of the surgical team.
The Endoscopic Endonasal Approach (EEA) has emerged over the last decade as the ideal surgical route for most craniopharyngiomas. Our team at Stanford, led by Dr. Fernandez-Miranda, has deep expertise treating craniopharyngiomas using the EEA. We have developed surgical techniques and described key surgical anatomy that are paramount to achieve complete tumor resection while minimizing side effects and surgical risks. Our intense dedication and progressive experience have allowed us to successfully treat Craniopharyngiomas considered “inoperable” or “unresectable” by many surgeons.
Virtual reality simulation for presurgical planning on a complex craniopharyngioma
Endoscopic Endonasal Approach for Giant Craniopharyngioma
Removal of Giant Pediatric Carniopharyngioma
Craniopharyngioma Removal at Stanford
Endoscopic Endonasal Approach for Recurrent Sellar-Cavernous Sinus Craniopharyngioma