Diagnosing and Treating a Craniopharyngioma

Anyone with the symptoms of a craniopharyngioma should have a thorough neurological examination along with blood tests to check hormone levels. If a tumor is suspected, the patient will likely have imaging tests done:

Computerized tomography (CT) is a noninvasive procedure that uses x-rays to produce an image of the brain. It often makes use of a contrast agent (a dye) to sharpen the image.

Magnetic resonance imaging (MRI) scans are the best tools for diagnosing a craniopharyngioma. An MRI uses magnetic fields and radio-frequency waves to create an image of the brain, and can reveal the presence of a tumor.

If a craniopharyngioma is suspected, the patient should be referred to a neurological surgeon at a major medical center who has experience treating craniopharyngioma in both adults and children and, in particular, familiarity with the endonasal endoscopic approach which is used to treat most craniopharyngiomas (see Doctors Who Treat Craniopharyngiomas). Patients also see a neuro-ophthalmologist and an endocrinologist ot manage the visual and endocrine issues often associated with these tumors. At Weill Cornell Medicine, we have a multidisciplinary team that sees every patient to provide the most comprehensive care available.

Surgery to remove the tumor is the most common treatment for craniopharyngioma. A neurosurgeon may perform a surgical biopsy first to extract a piece of the tumor to confirm that it is in fact a craniopharyngioma but this is not usually required since the appearance on MRI is often sufficient to make the diagnosis. In some cases, the diagnosis can be confirmed during the biopsy, and the surgeon will then continue the surgery and remove as much of the tumor as possible. (see Surgery for a Craniopharyngioma).

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Our Care Team

  • Chair and Neurosurgeon-in-Chief
  • Margaret and Robert J. Hariri, MD ’87, PhD ’87 Professor of Neurological Surgery
  • Vice Provost of Business Affairs and Integration
Phone: 212-746-4684
  • Vice Chair for Clinical Research
  • David and Ursel Barnes Professor of Minimally Invasive Brain Surgery
  • Professor of Neurosurgery, Neurology, and Otolaryngology
  • Director, Center for Epilepsy and Pituitary Surgery
  • Co-Director, Surgical Neuro-oncology
Phone: 212-746-5620
  • Assistant Professor of Neurological Surgery
  • Leon Levy Research Fellow
  • Feil Family Brain and Mind Research Institute
Phone: 646-962-3389
  • Associate Professor of Neuroendocrinology in Neurological Surgery, Weill Cornell Medicine
Phone: 646-962-3556
  • Vice Chair for Academic Affairs
  • Professor of Neurological Surgery, Pediatric Neurosurgery
  • Associate Residency Director
Phone: 212-746-2363
  • Director, Neurosurgical Radiosurgery
  • Professor of Clinical Neurological Surgery
Phone: 212-746-2438
  • Chief of Neurological Surgery, NewYork-Presbyterian Queens
  • Professor of Clinical Neurological Surgery
  • Co-director, Weill Cornell Medicine CSF Leak Program
Phone: (718) 670-1837
  • Chief of Neurological Surgery, NewYork-Presbyterian Brooklyn Methodist
  • Professor, Neurological Surgery
  • Director, Brain Metastases Program
  • Co-director, William Rhodes and Louise Tilzer-Rhodes Center for Glioblastoma
Phone: 212-746-1996 (Manhattan) / 718-780-3070 (Brooklyn)
  • Vice Chair, Neurological Surgery
  • Director, Pediatric Neurological Surgery
Phone: 212-746-2363
  • Associate Professor of Clinical Neurological Surgery
Phone: 718-780-5176

Reviewed by: Theodore Schwartz, M.D.
Last reviewed/last updated: September 2023

Weill Cornell Medicine Neurological Surgery 525 East 68 Street, Box 99 New York, NY 10065 Phone: 866-426-7787