MATERIAL and METHODS: Eight patients with the diagnosis of hydrocephalus were chosen. A supraciliary approach to the central skull base was used to fenestrate the lamina terminalis to allow cerebrospinal fluid egress from the third ventricle to the basal cisterns.

RESULTS: Clinical and/or radiological remission of hydrocephalus symptoms were observed in all patients. No complications were encountered in this small series of patients.

CONCLUSION: Microsurgical third ventriculo-cisternostomy through a supraciliary might be a reasonable alternative to endoscopic third ventriculostomy. However, a more sample size with controlled subjects is required to draw conclusions and comparisons with other techniques of treatment of hydrocephalus. Keywords : Hydrocephalus, Endoscopy, Third ventriculostomy, Lamina terminalis, Supraciliary craniotomy