Minimally invasive neurosurgical techniques that use endoscopic technology to access selected brain, skull base and spinal conditions.
Endoscopic neurosurgery uses a small camera-equipped instrument called an endoscope to help surgeons visualise and access selected areas of the brain, skull base or spine through small openings or natural pathways such as the nose. It may be considered for certain neurological conditions when clinically appropriate.
An endoscope is a narrow instrument with a camera and light that displays magnified images on a monitor. It allows the neurosurgical team to view targeted anatomical areas and use specialised instruments during selected procedures. Depending on the condition, access may be through a small opening in the skull or through the nasal passages.
For selected conditions, the endoscope may be introduced through a small opening in the skull. Procedures may include certain brain biopsies, cyst fenestration, colloid cyst treatment or interventions for hydrocephalus.
In selected cases, surgeons may access the skull base through the nose. This approach may be considered for certain pituitary and skull base lesions. Suitability depends on the lesion’s location, anatomy and clinical assessment.
Endoscopic techniques may be considered for selected cases involving:
Not all patients with these conditions are candidates for endoscopic surgery. The treating team determines the appropriate approach after reviewing clinical findings and imaging.
For suitable patients, endoscopic approaches may offer:
Benefits vary by procedure and patient. Endoscopic surgery is not risk-free and does not guarantee faster recovery or better outcomes.
No. The decision depends on the diagnosis, size and location of the lesion, anatomy, medical history and available surgical options. A neurosurgeon will discuss the potential benefits, risks and alternatives.
Patients can consult the neurosurgical team at Citi Neuro Centre to discuss their condition, imaging findings and treatment options. The specialist can explain whether an endoscopic approach may be appropriate and what to expect before and after the procedure.
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If you have been diagnosed with a brain or skull base condition, a specialist evaluation can help determine whether endoscopic neurosurgery or another treatment approach may be suitable.
Many endoscopic procedures use smaller openings or natural pathways, but the degree of invasiveness depends on the procedure.
Some skull base procedures use an endoscopic endonasal approach. Other endoscopic procedures require a small opening in the skull.
No. The approach depends on the tumour’s type, size, location and relationship to surrounding structures.
Recovery varies according to the procedure and individual factors. Your surgeon can discuss expected recovery and possible risks.
A neurosurgical consultation and review of your imaging and medical history are needed to assess suitability.