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Scarone P et al. – Sphenoorbital meningiomas are insidious tumors with slow progression. Even when exophthalmos is not clinically evident, it is always present on preoperative MR imaging. Total resection is not possible due to superior orbital fissure invasion, but subtotal resection (Simpson Grade II) can assure long–term stability due to the nonevolutive nature of most residual tumors. Exophthalmos improves at early radiological follow–up, but may worsen again as time passes.

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