Endoscopic Brain Surgery (Neuroendoscopy)

Endoscopic brain surgery, also known as neuroendoscopy, is a minimally invasive approach to treating certain brain and skull base conditions.

This technique uses a thin, flexible tube with a light and camera (an endoscope) that is inserted through a small opening in the skull or, in many cases, through the nasal passages.

The endoscope provides a clear, magnified view of the surgical area, allowing precise treatment while minimising disruption to surrounding brain tissue. Endoscopic brain surgery is commonly used for pituitary gland tumours, intraventricular cysts, hydrocephalus, and selected midline brain lesions, offering direct access through natural corridors. This approach is especially effective for conditions deep within the brain that would otherwise require a large “open” craniotomy.

A/Prof Mews has particular expertise in endoscopic pituitary surgery, used for tumours of the pituitary gland and skull base. This approach is performed through the nasal passages, avoiding external incisions altogether.

Conditions treated:

Endoscopic techniques are commonly applied in the treatment of:

  • Pituitary adenomas
  • Craniopharyngiomas
  • Colloid cysts
  • Skull-base tumours such as acoustic neuromas

Benefits of endoscopic brain surgery include:

  • No visible scars (transnasal approach)
  • Shorter recovery times and reduced pain
  • Greater precision in deep or complex regions
  • Reduced impact on surrounding brain tissue
  • Enhanced visualisation for safer tumour removal

Why Choose A/Prof Peter Mews?

Minimally invasive neurosurgery is not suitable for every patient or every condition, but when appropriate, it can make a profound difference to outcomes and recovery. These techniques combine the latest technology with meticulous surgical expertise, offering patients safer, more efficient treatment options.

A/Prof Peter Mews is uniquely positioned to deliver this care. His combination of dual accreditation in open and endovascular cerebrovascular surgery, and advanced training in endoscopic skull base surgery places him at the forefront of modern neurosurgical practice in Australia.