case_images: PMC3766328_01
case_images: (a and b) Preoperative radiology
case_images: SNI-4-102-g001.jpg
case_images: PMC3766328_01_SNI-4-102-g001.jpg
case_images: F1
case_images: His Glasgow Coma Scale was 13/15, magnetic resonance imaging (MRI) brain revealed giant left lateral sphenoid wing meningioma measuring 8 x 7 x 5 cm3 with no encasement of major blood vessels [Figure 1a and b].
case_images: Progressive extrusion of tumor out of dural opening just around the tumor
case_images: SNI-4-102-g002.jpg
case_images: PMC3766328_01_SNI-4-102-g002.jpg
case_images: F2
case_images: Gradually the tumor started to separate from the arachnoid plane and started to bulge in a pulsatile manner [Figure 2].
case_images: En bloc tumor specimen
case_images: SNI-4-102-g003.jpg
case_images: PMC3766328_01_SNI-4-102-g003.jpg
case_images: F3
case_images: No retractor or tumor manipulation was used throughout the procedure and finally, the whole tumor was delivered en bloc [Figure 3].
case_images: (a and b) Postoperative radiology
case_images: SNI-4-102-g004.jpg
case_images: PMC3766328_01_SNI-4-102-g004.jpg
case_images: F4
case_images: Postoperatively the patient had improved remarkably, contrast enhanced computed tomography (CECT) showing no residual tumor, and was discharged in good functional status on fourth day [Figure 4a and b].