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Abstract Tumors of the lateral and third ventricles are rare lesions in a general neurosurgical practice. Most of these tumors are benign and surgery is still an important component of their management. Tumors that arise within the ventricles present a unique surgical challenge due of their deep location, relatively large size, and their association with hydrocephalus. Surgical planning requires a careful assessment of the optimal method to access the lesion and to provide adequate exposure for tumor resection. Tumors of the lateral and anterir third ventricles can be removed via two major routes: the transcortical and transcallosal approaches. While the posterior third ventricle has its own approaches which are mainly infratentorial, transtentorial or supratentorial transcallosal or retrocallosal.The optimum surgical approach is the one which can provide a direct view angle, minimum brain retraction and avoid manipulation of the eloquent cortex. Endoscopic surgery for intraventricular brain tumors has burgeoned over the past decade into the field but it has some limitations when dealing with large tumors in the lateral and third ventricles. Impressed by the challenges of dealing with lateral and third ventricle tumors; we conducted our study to evaluate the outcome, safety, efficacy and complications of different surgical modalities used in the management of lateral ventricle tumors. |