Arachnoid cysts are well known to the neurosurgeon, and the evolution
of their surgical treatment has followed technological advances in neu
rosurgical procedures and techniques. With the recent mastering of neu
roendoscopy by the neurosurgeons, it is becoming the modality of choic
e for the treatment of arachnoid cysts. A neonate harboring a middle p
arasagittal arachnoid cyst benefited from stereotactically guided endo
scopy. We report this case because of its peculiarities and introduce
technical details about the procedure which are not found in the liter
ature.