How I do it: endoscopic supracerebellar infratentorial approach for torcular meningioma removal.

BACKGROUND: Torcular meningioma is a rare type of brain tumor with few reports regarding the appropriate resection approach for this disease. In cases without sinus occlusion, surgeons are advised to spare the sinus; however, the sinus may interfere with the visual field. METHOD: Endoscopic supracerebellar infratentorial approach for removal of torcular meningioma was performed in the prone position. The tumor attachment to sinus or confluence was removed or coagulate safely due to an optimal look-up view with the 0° and 30° endoscope. CONCLUSION: Endoscopic supracerebellar infratentorial approach for infratentorial torcular meningioma is a safe and less invasive technique.