Craniopharyngiomas are benign tumors of the sellar and suprasellar region derived from epithelial cells of Rathke's pouch. They have a higher incidence in children and older adults. The most common symptoms are visual field alterations, hormonal deficits, and short stature in children. When these tumors cause hydrocephalus, they may present with headache, vomiting and altered consciousness.
We present the case of a 20-year-old patient who consulted for progressive visual deficit accompanied by drowsiness due to cortisol deficiency. In this case we were able to perform a complete resection of the craniopharyngioma; the postoperative course was uneventful, complete hormonal replacement was carried out, and we did not need to use radiotherapy.
Note the high definition of the intraoperative images provided by the endoscopic endonasal approach. This visualization allows us to make the most appropriate decisions during surgery to deliver a good outcome.
