The patient, an Iraqi citizen came to the clinic 12-October-2011 complaining of general weakness and headache for 4 months, for what MRI of the brain was performed 17-September-2011, which showed planum sphenoidale meningioma occupying the anterior fossa and reaching the falx cerebri, more anterior from the right side and more posterior from the left side, pushing the anterior cerebral arteries posterior and up, touching the optic nerves without considerable compression.

On examination: the patient is neurologically free except for the headache.

Monofalp bifrontal osteoplastic craniotomy was done with reflection of the bone flap to the right ear. Subfrontal approach with mobilization and preservation of the olfactory tracts. The meningioma was totally resected and the matrix at the planum sphenoidale was vigorously coagulated. Inspection of the optic nerves and supraclinoid both ICAa and the sylvian cisterns and the pituitary stalk. No remnants of the tumor. The pericallosal arteries became lax after the tumor was completely resected. Considering that the frontal sinuses were large, it was necessary to harvest a muscle from the right quadriceps femoris to fill the frontal sinuses. Strict heamostasis.

Routine closure of the wound.  Smooth postoperative recovery.

The patient was neurologically free with preservation of the olfaction. The olfactory tracts were anatomically preserved.

The patient was discharges 21-October-2011 with preserved olfactory function and she was neurologically free.