Acta Neurochirurgica

, Volume 159, Issue 7, pp 1243–1246

Endoscopic approach via the interhemispheric fissure: the role of an endoscope in a surgical case of multiple falcine lesions

  • Junya Yamaguchi
  • Tadashi Watanabe
  • Tetsuya Nagatani
How I Do it - Neurosurgical Techniques

DOI: 10.1007/s00701-017-3129-9

Cite this article as:
Yamaguchi, J., Watanabe, T. & Nagatani, T. Acta Neurochir (2017) 159: 1243. doi:10.1007/s00701-017-3129-9



For treating a patient with multiple falcine and parasagittal lesions, we believe that it is beneficial to resect the maximum possible number of lesions during one operation, even if some lesions are asymptomatic. This practice can potentially reduce the total number of operations during a patient’s lifetime.


We provide an introduction of a concurrent endoscopic approach via the interhemispheric fissure.


Applying this endoscopic approach concurrently with conventional microscopic surgery can enable the safe resection of as many lesions as possible during one operation.


Endoscopic neurosurgery Interhemispheric fissure Multiple falcine lesions Neurofibromatosis type 2 

Supplementary material

701_2017_3129_MOESM1_ESM.mp4 (43.4 mb)
ESM 1Video of endoscopic resection of multiple falcine meningiomas via the interhemispheric fissure in a 39-year-old female with neurofibromatosis type 2, explaining intraoperative key points. (MP4 44461 kb)

Copyright information

© Springer-Verlag Wien 2017

Authors and Affiliations

  • Junya Yamaguchi
    • 1
  • Tadashi Watanabe
    • 1
  • Tetsuya Nagatani
    • 1
  1. 1.Department of NeurosurgeryNagoya Daini Red Cross HospitalNagoya-shiJapan

Personalised recommendations