Typical case: A 5-year-old male child was admitted to the hospital with the chief complaint of “malaise, nausea and vomiting with gradual aggravation for more than 1 year. History: Since the age of 4, the child has been growing more slowly than children of the same age, and he often has symptoms such as weakness, anorexia, nausea and vomiting, vomiting is not in the form of jets, vomit is the contents of the stomach, the child has no visual field changes, no symptoms such as polydipsia and polyuria. The local hospital considered malnutrition and gave nutritional support treatment, which was not effective. On December 19, 2014, the child suddenly developed a weak vertical head and slurred speech, so he was seen at the local children’s hospital, and no abnormalities were found on routine tests such as abdominal ultrasound and electrocardiogram. Later, the patient’s family brought the child to the local People’s Hospital for further treatment, and considered the possibility of craniopharyngioma after a cranial MRI was performed at the hospital. Today, the patient came to our hospital for further surgical treatment, and our cranial CT showed 1. obstructive hydrocephalus.2 Physical examination: external genital development was slightly smaller than that of children of the same age, and no other abnormal signs were seen. Preoperative cranial CT showed that: Ḥ The child was admitted to the hospital, and the craniopharyngioma was resected under general anesthesia, and the operation went smoothly with total resection of the tumor. The child recovered well 11 days after surgery and was discharged with stable vital signs.