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09-JUNE-2003 HIND SALEM AL-NSOOR 33 YEARS RIGHT LESSER WING MENINGIOMA.
The patient came to the clinic 01-June-2003
complaining of fainting attacks for 20 months
with exacerbation the last 4 months. MRI of the
brain done 28-May-2003 showing huge right lesser
wing meningioma with massive edema around the
On examination: The patient has elements of
frontal lobe syndrome with anosmia of the right
side, otherwise she was neurologically free.
Right pterional approach was
achieved with reflection of the bone flap to the
right ear. The tumor was rubbery wood in
consistency, that sharp dissection was needed to
remove it by pieces. Radical removal of the
tumor was achieved. Routine closure of the
Smooth postoperative recovery.
She was sent to the ward.
The patient was followed for 15 years and no
signs of recurrence were seen.
The patient has huge meningioma. The pterional
approach is the most suitable approach to this mass.