PMC3766328_01
(a and b) Preoperative radiology
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F1
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].
Progressive extrusion of tumor out of dural opening just around the tumor
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F2
Gradually the tumor started to separate from the arachnoid plane and started to bulge in a pulsatile manner [Figure 2].
En bloc tumor specimen
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F3
No retractor or tumor manipulation was used throughout the procedure and finally, the whole tumor was delivered en bloc [Figure 3].
(a and b) Postoperative radiology
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F4
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].