Combined Transcranial and Endoscopic Endonasal Approach for Resecting a Giant Intracranial and Extracranial Communicating Meningioma: A Case Report

  Objective  Although intracranial and extracranial communicating meningiomas are uncommon in clinical settings, they pose a considerable challenge for surgeons. Thus, one-stage surgery should be more comprehensively explained as it is not frequently reported as a first-line treatment.

  Case report   A 27-year-old man with a massive intracranial and extracranial communicating meningioma was admitted with nasal congestion and mild numbness on the left side of his face. A combined transcranial and endoscopic endonasal approach was performed in a single day aided by preoperative tumor embolization. The tumor was nearly completely removed without any serious complications. Follow-up revealed the disappearance of diplopia, with the patient having a normal life. Furthermore, no tumor progression was noted.

  Conclusion  The combined transcranial and endoscopic endonasal approach is feasible for removing certain massive intracranial and extracranial communicating tumors. Hybrid techniques, such as embolization, microscopic, and endoscopic manipulation, are indispensable tools for treating such cases.