Advances in computer technology have permitted virtual reality images of th
e ventricular system. To determine the relevance of these images we have co
mpared virtual reality simulations of the ventricular system with endoscopi
c findings in three patients. The virtual fly-through can be simulated afte
r definition of waypoints, Flight objects of interest can be viewed from al
l sides. Important drawbacks are that filigree structures may be missed and
blood vessels cannot be distinguished clearly. However, virtual endoscopy
can presently be used as a planning tool or for training and has future pot
ential for neurosurgery.