case_images: PMC10836756_01
case_images: Postoperative CT scan aspect. (A) CT tissue window highlights gross tumour resection; (B) CT bone window shows pterional flap on the right side of the skull
case_images: cureus-0016-00000051596-i01.jpg
case_images: PMC10836756_01_cureus-0016-00000051596-i01.jpg
case_images: FIG1
case_images: Histological aspect of anaplastic meningioma . Image depicts the caracteristic sarcoma-like morphology of a anaplastic meningioma with an important mitotic count higher than 20/10 high-power fields, notably, significant vascularity can be observed within the tumoral process
case_images: cureus-0016-00000051596-i02.jpg
case_images: PMC10836756_01_cureus-0016-00000051596-i02.jpg
case_images: FIG2
case_images: Histopathological examination revealed a sarcomatous meningioma, poorly differentiated (Figure 2).
case_images: Postoperative dehiscence lesion . Tissular window (A) of CT scan highlights the postoperative dehiscence lesion (blue arrow) at the level of pterional flap (B, blue arrows indicate trephine holes), shown on bone window
case_images: cureus-0016-00000051596-i03.jpg
case_images: PMC10836756_01_cureus-0016-00000051596-i03.jpg
case_images: FIG3
case_images: However, wound dehiscence (Figure 3) with cerebrospinal fluid leakage necessitated a second surgical procedure, which involved a dural plasty using temporal muscle fascia and repositioning of the bone flap with CranioFix.