Endoscopic surgery is indicated for the treatment of skull base herniation in cases of congenital meningocele; due to trauma and post-surgical meningocele. Contraindicated in cases of patients with acute or subacute sinusitis due to infection or meningocele in the anterior part of the frontal sinus.

Endoscopic surgery to treat skull base hernia is often indicated for cases of congenital or traumatic meningocele, post-operative meningocele. Because this is a complex surgery, the anesthesia method commonly used during this procedure is general anesthesia with endotracheal intubation.