An endoscope image pickup device comprising: an insertion section which is configured to be inserted in a body cavity and includes a telescope having a first optical axis; a camera head body including an image pickup optical system having a second optical axis, wherein the camera head body is coupled to a proximal end portion of the insertion section, wherein the second optical axis is perpendicular to the first optical axis and the camera head body is rotatable about the first optical axis and has a center of gravity that is offset from the first optical axis; and a camera cable connected to a lower end portion of the camera head body and to a camera control unit, wherein a video signal line is inserted in the camera cable; characterized by further comprising: a remote control section which includes switch means configured to be operated by the finger of an operator, and provided at a point along the camera cable with an extension from the camera head body such that the remote control section functions as a balancer to prevent the camera head body from rotating together with the telescope and to keep the vertical attitude of the camera head body when the telescope is rotated about the first optical axis, and movement of the remote control section, when the switch means are operated, is absorbed by the camera cable and not transmitted to the telescope and camera head body, wherein the camera cable is relayed via the remote control section, the video signal line penetrates the remote control section, and a switch operation signal line is inserted in the camera cable and connected to the switch means. an insertion section which is configured to be inserted in a body cavity and includes a telescope having a first optical axis; a camera head body including an image pickup optical system having a second optical axis, wherein the camera head body is coupled to a proximal end portion of the insertion section, wherein the second optical axis is perpendicular to the first optical axis and the camera head body is rotatable about the first optical axis and has a center of gravity that is offset from the first optical axis; and a camera cable connected to a lower end portion of the camera head body and to a camera control unit, wherein a video signal line is inserted in the camera cable; characterized by further comprising: a remote control section which includes switch means configured to be operated by the finger of an operator, and provided at a point along the camera cable with an extension from the camera head body such that the remote control section functions as a balancer to prevent the camera head body from rotating together with the telescope and to keep the vertical attitude of the camera head body when the telescope is rotated about the first optical axis, and movement of the remote control section, when the switch means are operated, is absorbed by the camera cable and not transmitted to the telescope and camera head body, wherein the camera cable is relayed via the remote control section, the video signal line penetrates the remote control section, and a switch operation signal line is inserted in the camera cable and connected to the switch means.