• Andreas K Filis, Karam Moon, and Alan R Cohen.
• Division of Pediatric Neurosurgery, Rainbow Babies and Children's Hospital, Neurological Institute, Case Western Reserve University School of Medicine, Cleveland, Ohio 44106, USA.
• Pediatr Neurosurg. 2009 Jan 1; 45 (6): 434-6.

BackgroundSurgical resection of craniopharyngiomas may be challenging sometimes because of the size, location and tenacity. Simultaneous endoscopic and microsurgical resection is a novel way to approach such lesions. The aim of this report is to discuss the usefulness of combined endoscopic and microsurgical approaches in treating complex craniopharyngiomas along with a review of the literature.MethodsA child with hydrocephalus and a large suprasellar craniopharyngioma underwent synchronous endoscopic and microsurgical resection of the lesion.ResultsGross total resection of the tumor was achieved. There were no postoperative complications. Hydrocephalus was also treated successfully.ConclusionsNeuroendoscopy can complement microsurgery in approaching complex craniopharyngiomas particularly when these tumors are large and accompanied by hydrocephalus.Copyright 2010 S. Karger AG, Basel.

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