Xia & He Publishing Inc. Nov 19 2025 Craniopharyngiomas account for 2–5% of all primary brain tumors and 5–10% of pediatric brain tumors. Despite their benign histology, their location near the hypothalamus, pituitary gland, and optic pathways complicates management. Gross total resection, while effective, carries high risks of visual, endocrine, and hypothalamic dysfunction. Adjuvant radiotherapy after subtotal resection offers comparable control with fewer complications, but conventional