Microsurgical access to the ventricles remains the gold standard for treating intraventricular lesions, offering superior precision and safety when navigating deep brain structures. Although endoscopic techniques have revolutionized ventricular surgery by providing minimally invasive options for procedures such as endoscopic third ventriculostomy and colloid cyst resection, their application is limited by constraints in bimanual manipulation and visualization [1]. Neuronavigation has significantly enhanced ventricular surgery by permitting precise intraoperative localization of lesions, reducing cortical transgression, and optimizing surgical trajectories, particularly in cases requiring stereotactic accuracy [2]. However, microsurgical techniques using specialized craniotomies, such as the transcallosal interhemispheric and transcortical approaches, remain the most reliable methods for accessing ventricular structures while preserving surrounding neurovascular integrity [3, 4]. These approaches integrate microsurgical instruments, intraoperative imaging, neuronavigation, and neuroanatomical knowledge to ensure maximal lesion resection while minimizing morbidity, maintaining their role as the cornerstone of ventricular surgery.