Study Objective: To learn how to do endoscopic third ventriculostomy in narrow foramen of Monro.
Design: Through right frontal burr hole endoscope was introduced and right foramen of Monro was identified, which was narrowed with membranous structures; ventriculoscope was introduced and third ventriculostomy was performed without injuring the surrounding vital structures.
Setting: Comfort Nursing Home, a private hospital in Dhaka, Bangladesh.
Subject/Audience: Neurosurgeons/Neurologists/Residents Intervention: Demonstration of endoscopic third ventriculostomy in narrow foramen of Monro and its steps were intervened.
Results: Avoidance of complications like intraoperative injury to the vital structures like mammillary bodies, basilar artery etc were achieved successfully.
Conclusion: The steps of endoscopic third ventriculostomy is well established. Prior anatomical concepts particularly identification of anatomical structures, surgeon's experience are key to success.