Abstract

Giant sphenoid ridge meningiomas pose significant surgical challenges due to their size, location, and vascularity. Preoperative embolization has been suggested as an effective strategy to reduce intraoperative bleeding and facilitate tumor resection. We report a case of a 50-year-old male presenting with progressive left hemiplegia, found to have a 6 cm tumor at the skull base. Preoperative embolization of the middle meningeal artery, accessory meningeal artery, and inferolateral trunk was performed, followed by successful tumor resection via a transsylvian approach. This case highlights the role of embolization in improving surgical outcomes for large sphenoid ridge meningiomas.