• 67-year-old left-handed lady who presented with a two-year history of progressive loss of visual acuity, double vision, and proptosis.
  
  
• Patient examination showed significant proptosis of her right eye, and significant loss of visual acuity.
  
  

MRI scan of patient’s brain shows a sphenoid wing meningioma with intraconal extension.
 

• She underwent surgical resection of this tumor by orbitozygomatic craniotomy and using brain mapping, stereotactic and computer navigation, and intraoperative neurophysiological monitoring.

The pathology of the tumor confirmed diagnosis of meningioma.

Before Operation                                              After Operation

• The patient did well postoperatively with no complications and was discharged home in good health.