A 59 years old gentleman presented to us with a history of fall from a motorcycle due to a sudden episode of seizure. He was managed conservatively elsewhere where CT Scan of the brain was done which revealed a middle cranial fossa SOL. He was then referred to us for further management.
On examination, the patient complained of severe headache and gave history of one episode of seizure. His Glasgow Coma Scale (GCS) was 15/15 at the time of evaluation.
MRI revealed a INTRACRANIAL SPACE OCCUPYING LESION IN THE MIDDLE CRANIAL FOSSA WITH ENCROACHMENT ON THE ANTERIOR CLINOID PROCESS. ? CLINOIDAL MENINGIOMA ? MEDIAL SPHENOID WING MENINGIOMA
The patient underwent Microsurgical excision of the tumour and anterior clinoidectomy was also done.
The patient made an uneventful recovery in the post operative period.