25 years old male presented with symptoms and signs of raised intracranial pressure. MRI brain showed a cystic well rounded mass in region of 3rd ventricle causing asymmetrical hydrocephalus(right more than left. I operated him today. Right frontal trephine craniotomy was done just anterior to coronal suture. Right lateral ventricle was opened and choroid plexus was seen entering through right foramen of Monro. 3rd ventricular floor was lifted andwas intact. After placing ventricular end of shunt in right lateral ventricle this approach was abondoned. Through same craniotomy dura was opened anteriorly, sylvian fissure was opened after identifying it. Base of right frontal lobe was retracted, right olfactory tract and right optic nerve was identified, arachnoid dissected and contents of craniopharyngioma were evacuated with partial excision of capsule through lamina terminalis approach
. Dura was closed completely and all bone replaced. Shunt tube was left in right lateral ventricle and connected to sterile bag. Pt was reversed at table and extubated. he is fine with normal vision and good power on both sides. Message-- Same craniotomy can beused for transfrontal transventricular approach and subfrontal approach lamina terminalis approach.