A 40-year-old woman presented with a 20-day history of severe holocranial headache, progressively worsening with physical effort and associated with nausea, vomiting, photophobia, and phonophobia. She reported multiple emergency department visits, where she received analgesic treatment without symptom relief. Past and family history were unremarkable. On admission, physical and neurological examinations were normal. Cranial computed tomography revealed a mass at the falcotentorial junction, compatible with a falcotentorial meningioma (FM). The patient was referred for surgical excision.




