such patient should be safe excision of the tumor without adding neurological deficits. Multidisciplinary care like endoscopic decompression of

cystic craniopharyngioma helps in reducing the operative morbidity. The aim of this study was to evaluate the role of neuroendoscopy in the

placement of ommaya reservoir in patients of cystic craniopharyngioma.

Method – Thirteen patients with symptomatic cystic craniopharyngioma associated with hydrocephalus were treated by an endoscopic

transventricular approach for the insertion of an intracystic catheter

Result – All patients except one show significant improvement in immediate post operative period. There was no evidence of chemical meningitis

in post operative period. Three patients require ventriculo– peritoneal shunt at a later date for hydrocephalus. In two cases cysto–ventriculocisternostomy

was performed for managing hydrocephalus.

Conclusion – This type of neuroendoscopic management has proven minimally invasive, safe, and effective and could be considered as an

alternative management technique for some cystic craniopharyngiomas