PMC9560591_01
Case illustration. 7A: Preoperative computed tomography images (bone window) showing the hyperostosis caused by the spheno-orbital meningioma, involving the greater sphenoid wing, lesser sphenoid wing, anterior clinoid process, and superior wall of the orbit as well as the temporal squama.. 7B: Preoperative gadolinium-enhanced magnetic resonance imaging (MRI) showing the spheno-orbital meningioma extending from the supraorbital wall to the lateral orbital wall as well as the periorbita. The temporal pole dura, temporalis muscle were also infiltrated. Compression of the orbit caused proptosis of the globe.. 7C: Postoperative computed tomography images demonstrating gross total removal of both the meningioma and the hyperostosis.
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CT scanner and MRI revealed an extra-axial, hyperostotic tumor, suspected to be a spheno-orbital meningioma (Fig. 7 and A; Fig. 7 and B). CT and MRI confirmed the complete resection (Fig. 7 and C).
Cosmetic eye-brow incision. 8A: Outline of the surgical incision and landmarks.. 8B: Cosmetic results on postoperative day 5.
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An eyebrow incision (Fig. 8 and A) with a crescent-shaped orbital rim craniotomy was performed (Video 1). The suture was removed on postoperative day 6, and the patient was discharged in perfect clinical condition with a hardly visible scar and regression of proptosis (Fig. 8 and B).