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Updated: May 30, 2026

Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery
Published on: July 5, 2021
Craniopharyngioma
Aldo C Stamm1, Eduardo Vellutini, Leonardo Balsalobre
1São Paulo ENT Center, Professor Edmundo Vasconcelos Hospital, Rua Afonso Braz, 525, conj. 13. Vila Nova Conceição. CEP: 04511-011, São Paulo, Brazil.
Abstract:
Craniopharyngiomas are rare epithelial tumors arising along the path of the craniopharyngeal duct; therefore, they occur in the sellar or suprasellar regions. These tumors commonly lead to neurologic, endocrinological, or visual symptoms. Radical surgery is the treatment of choice in craniopharyngiomas. The transnasal/transsphenoidal endoscopic approach offers the possibility of removing the tumor without retracting brain and optic pathways, with good results. The rate of cerebrospinal fluid fistula has improved due to the use of vascularized mucosal flaps for cranial base reconstruction.
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