Abstract
Meningiomas are the most common intracranial tumours. Given the increase in life expectancy and the widespread access and use of brain imaging, the incidence in the elderly population (?65 years) is continuously increasing. Meningiomas in adults are mainly benign tumours that develop from the meninges. We present the case of an 86-year-old female patient admitted on an emergency basis to our department with severe left-sided hemiparesis (left brachial plegia, severe left crural paresis) of approximately 4 days duration, drowsy, GCS 14 points, Karnofsky score 70, headache of moderate intensity (VAS 5/10). Brain imaging (contrast-enhanced CT scan) revealed a giant cerebral meningioma (60 x 57 x 62 mm) located in the right parietal region, in a parasagittal and paraventricular position. The procedure was performed under magnification, with subtotal resection and a 2–3 mm residual fragment. The postoperative status was very good, with significant improvement of the motor deficit—allowing for effective mobilisation with a walker—and a Karnofsky score that reached 90. The headache disappeared.
