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Gaziantep Tıp Fakültesi Nöroşirürji Kliniği, Gaziantep The most common site that lateral ventricle tumors are seen, is the trigonal area. These tumors grow primarily inside the ventricle or originated from surrounding tissue and have tendency to grow to the ventricle cavity. Surgical resection of trigonal tumors causes high risks of morbidity. We used parieto-occipital interhemispheric precuneal approach in two cases that have tumors in the trigonal area and succeeded gross total resection of the tumors. So the surgical approaches to this area were discussed. Anahtar Kelimeler : Lateral ventricle, parieto-occipital interhemispheric approach, trigone