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Last Updated: September 30, 2018

Figure 1: Photos of a patient of Harvey Cushing who died from meningitis after surgery for a suprasellar craniopharyngioma on November 12, 1911. This image is the lantern slide that Cushing used in his lectures. The operative note by Cushing noted: “Typical interpeduncular cyst of pharyngeal origin. Sellar decompression. A badly planned operation. Death from meningitis on twelfth day.” The autopsy brain specimens on the right demonstrate the extent of tumor decompression through the transsphenoidal route.

Transnasal Transtuberculum Resection of Craniopharyngioma

Craniopharyngiomas typically arise from nests of metaplastic adenohypophyseal cells of the pituitary stalk. Except for the 5% that are purely intraventricular, most of these lesions originate from the parasellar space with th...