Illustrative case demonstrates effective CSF dynamics restoration in optic pathway-hypothalamic glioma, indicating promising surgical approach.
OPHG can cause Chiari-like pathophysiology by obstructing CSF pathways at the suprasellar and basal cistern levels. Extended endoscopic endonasal surgery provides a safe, minimally invasive route for direct ventral decompression, restoration of CSF dynamics, and effective management of selected OPHG with posterior fossa manifestations. https://thejns.org/doi/10.3171/CASE2623.
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Nakano et al. (2026) studied this question.
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