Case
About this case
Operative video, through the Endoscopic Endonasal Transsphenoidal approach. The background notes below summarise the anatomy, pathology and approach, with published references.
Reference notes
Background
Notes on this case’s cranial location, pathology and surgical approach, with published sources. General education only, not advice for any individual patient.
Surgical Approach
Endoscopic Endonasal Transsphenoidal
A minimally invasive route through the nostrils and sphenoid sinus to the midline skull base, using the endoscope for a panoramic, close-up view. It is the standard approach for pituitary adenomas and, in extended variants, reaches the tuberculum, planum, clivus and odontoid.
Its advantages are the absence of brain retraction and direct decompression of the optic chiasm; the principal challenge is watertight skull-base reconstruction to prevent a CSF leak.
