Endoscopic transorbital removal of a temporomesial cavernous hemangioma

In recent years, endoscopic transorbital approaches have found wider applications and more indications. Their use has been described for resection of epileptogenic pathology in the adult population and for lesions located at the temporal lobe. In this video, the authors describe the case of a 47-year-old woman with a 9-month history of episodes of confusion, altered spatiotemporal awareness, and dizziness, only partially responding to antiepileptic drugs. MRI showed a temporomesial cavernous hemangioma. Endoscopic transorbital resection through a modified superior eyelid approach is shown. Radical resection was obtained without any postoperative complications, and an optimal cosmetic outcome was achieved. The video can be found here: https://stream.cadmore.media/r10.3171/2025.1.FOCVID24183.