1 Department of Neurosurgery, NTT Medical Center Tokyo, Tokyo, Japan2 Department of Neurosurgery, Fuji Brain Institute and Hospital, Fujinomiya Shi, Japan
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We present a 37-year-old male case of cystic suprasellar huge craniopharyngioma, who presented with significant memory disturbance due to obstructive hydrocephalus. Combined interhemispheric and pterional approach was chosen to resect huge suprasellar tumor. Interhemispheric trans-lamina terminalis approach was quite effective to resect third ventricular tumor, while pterional approach was useful to dissect tumor out of basilar perforators and stalk.The link to the video can be found at: https://youtu.be/BoYIPa96kdo.