case_images: PMC11380830_01
case_images: Brain magnetic resonance imaging. (a) Residual suprasellar lesion, characterized by both cystic and solid components, was identified. This lesion corresponds to a previously identified craniopharyngioma, which is causing compression of the chiasm, with a more pronounced effect on the right side. The dimensions of the lesion measure 1.3 cm x 2.1 cm x 1.8 cm.
case_images: SNI-15-270-g001.jpg
case_images: PMC11380830_01_SNI-15-270-g001.jpg
case_images: F1
case_images: A brain magnetic resonance imaging study revealed a heterogeneous suprasellar lesion with solid and cystic components extending to the third ventricle, retrochiasmatic region, and posterior fossa [Figure 1].
case_images: Occlusion of a lesion in intracranial vessels through endovascular approach: bilateral vertebral artery (panangiography): (a) The jugular access is marked for injection from the left sigmoid sinus, where the superior petrosal sinus is identified. (b) Using a microcatheter and microguide, navigation is performed (c) from the superior petrosal sinus to the left cavernous sinus.
case_images: SNI-15-270-g002.jpg
case_images: PMC11380830_01_SNI-15-270-g002.jpg
case_images: F2
case_images: After the femoral vein puncture, supraselective catheterization of the bilateral superior petrosal sinuses was carried out, starting with the dominant side (left), utilizing a guiding catheter for support placed in the jugular gulf [Figure 2].
case_images: Panangiography: embolic material is distributed from the (a) left cavernous sinus to the (b) right cavernous sinus through its intracavernous connections.
case_images: SNI-15-270-g003.jpg
case_images: PMC11380830_01_SNI-15-270-g003.jpg
case_images: F3
case_images: Apollo 1.5 cm distal tip microcatheter, assisted by a 0.010 microguide wire. After three vials of onyx 18 injection, vascular exclusion of both anterior cavernous sinuses was achieved, observing contralateral occlusion as flow through the coronary sinus and other intercavernous connections were noted [Videos 1 and 2, Figure 3].
case_images: Panangiography: redistribution of venous outflow to bilateral pterygoid plexuses and bilateral superficial middle venous systems.
case_images: SNI-15-270-g004.jpg
case_images: PMC11380830_01_SNI-15-270-g004.jpg
case_images: F4
case_images: Brain magnetic resonance imaging: (a) A residual suprasellar lesion, characterized by both cystic and solid components, is consistent with a craniopharyngioma. Postsurgical changes are evident following a transsphenoidal approach for resection of the craniopharyngioma. (b) Subacute hematic remnants are observed in the surgical bed, with no evidence of lesions suggesting tumor residue.
case_images: SNI-15-270-g005.jpg
case_images: PMC11380830_01_SNI-15-270-g005.jpg
case_images: F5
case_images: A second transnasal endoscopic procedure was conducted without bleeding, resulting in a complication-free complete resection of the craniopharyngioma [Figure 5].