Interhemispheric Transcallosal Resection in Pediatric Craniopharyngioma: A Case Report

Background: Craniopharyngioma is a rare benign tumor of the central nervous system and occurs most commonly in the pediatric population, characterized by partly cystic embryonic malformation within the sellar/parasellar region. Case Presentation: We present the case of a 4-year-old boy with craniopharyngioma, manifesting as severe headache, vision changes, nausea, vomiting, and tonic seizure. Neuroimaging revealed an irregular, non-homogenous, calcified mass in the suprasellar region with compression of the optic chiasm and midbrain structures leading to obstructive hydrocephalus. Surgical intervention via the Interhemispheric transcallosal approach successfully resected the tumor, with no post-operative complications observed except for the development of central diabetes insipidus. Conclusion: This case underlines the challenges in managing pediatric craniopharyngioma, emphasizing the importance of multidisciplinary collaboration for optimal patient care.