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A 48-year-old woman consulted due to blurring of vision (the right side more than left), right eye pain, and headache. She felt that her right eye was pulsating (“tumitibok”) and that it was popping out. Brain MRI showed a large tumor at the right sphenoid wing, a bony structure at the side of the head, between the eye and the ear. There was also a lot of brain swelling around the tumor. 

The patient underwent surgery to remove the tumor. The tumor was very bloody because of the rich blood supply from the area of the sphenoid wing. The entire tumor was removed, and the patient improved. The biopsy result was a meningioma, a benign brain tumor. This case shows that meningiomas can arise in different parts of the brain and have a different presentation. 

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