Craniopharyngiomas are most commonly located extra-axially in the sellar or suprasellar area, They are benign but aggressive neoplasms, This paper reports an 8-year-old girl with a large craniopharyngioma originating from the suprasellar region and extending to the posterior cranial fossa down to the region of the foramen magnum. (C) 1997 Elsevier Science Inc.