en Brain Tumors Case report <h3 style="margin-top: 16px; margin-bottom: 4px; text-align: justify;"><span style="font-size:13pt"><span style="text-justify:inter-ideograph"><span style="line-height:150%"><span arial="" style="font-family:"><strong><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Background and Importance:</span></span></span></strong><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""><span style="font-weight:normal"> Meningiomas are usually benign tumors. Depending on their location and size, dealing with them can be problematic. We report an exceptional case of gigantic frontal meningioma. Its diagnosis was misleading and the excision laborious.&nbsp; </span></span></span></span></span></span></span></span></h3> <div style="text-align: justify;"><span style="font-size:11pt"><span style="text-justify:inter-ideograph"><span style="line-height:150%"><span calibri="" style="font-family:"><b><span style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:"Times New Roman",serif"></span></span></span></b></span></span></span></span><span style="font-size:11pt"><span style="text-justify:inter-ideograph"><span style="line-height:150%"><span calibri="" style="font-family:"><b><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Case Presentation:</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""> A 29-year-old patient who presented gradually over 5 years, developed behavioral disorders then swelling of the vertex at the frontal level and decreased visual acuity. Physical examination on admission revealed a median frontal swelling slightly lateralized to the left axis of approximately 10 cm, hard, covered with the healthy, severe frontal syndrome, and decreased visual acuity. Computerized tomography (CT) scan showed a voluminous medial frontal lesion lateralized to the left, with irregular limits, superior sagittal sinus invasion, brain engagement under the scythe, heterogeneous contrast taking, and significant osteolysis first evoking tumor metastasis. Magnetic resonance imaging (MRI) suggested a meningioma. The resection was macroscopically complete. Dural and cranial plasty was performed. The postoperative follow-up was simple. Histology concluded that the meningioma was grade 1 based on the world health organization (WHO) classification.</span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-justify:inter-ideograph"><span style="line-height:150%"><span calibri="" style="font-family:"><b><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Conclusion</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">:</span></span></span><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""> Late-diagnosis meningiomas can take on very large proportions and pose management problems while seriously engaging the patient functional and vital prognosis.&nbsp; </span></span></span></span></span></span></span><br> &nbsp;</div> Meningioma, Exteriorized, Excision, Duroplasty, Cranioplasty 82 88 http://irjns.org/browse.php?a_code=A-10-526-1&slc_lang=en&sid=1 Denlewende Sylvain Zabsonre dzabsonre@gmail.com 100319475328460011269 100319475328460011269 Yes Department of Neurosurgery, Yalgado Ouédraogo Teaching Hospital, Ouagadougou, Burkina Faso Inoussa Zoungrana zoungranainouss@gmail.com 100319475328460011270 100319475328460011270 No Department of Neurosurgery, Yalgado Ouédraogo Teaching Hospital, Ouagadougou, Burkina Faso Julie Marie Adeline Wendlamita Kyelem linejulyk@yahoo.fr 100319475328460011271 100319475328460011271 No Department of Neurology, Yalgado Ouédraogo Teaching Hospital, Ouagadougou, Burkina Faso Abdoulaye Sanou sanou_abdou2002@yahoo.fr 100319475328460011272 100319475328460011272 No Department of Neurosurgery, Yalgado Ouédraogo Teaching Hospital, Ouagadougou, Burkina Faso Yakouba Haro yaksterharo@yahoo.fr 100319475328460011273 100319475328460011273 No Department of Neurosurgery, Yalgado Ouédraogo Teaching Hospital, Ouagadougou, Burkina Faso Souleymane Ouattara ziemassasolo@gmail.com 100319475328460011274 100319475328460011274 No Department of Pathological Anatomy, Tengandogo Teaching Hospital, Ouagadougou, Burkina Faso Adama Traore traoreadama30@yahoo.fr 100319475328460011275 100319475328460011275 No Department of Pathological Anatomy, Tengandogo Teaching Hospital, Ouagadougou, Burkina Faso Abel Kabre kabrel@yahoo.fr 100319475328460011276 100319475328460011276 No Department of Neurosurgery, Yalgado Ouédraogo Teaching Hospital, Ouagadougou, Burkina Faso