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We report here in a case of meningioma with marked bone deformity. A 72-year-old man presented with progressive right hemiparesis, motor aphasia, and dementia. Initial 3-dimensional computed tomography demonstrated marked thickness and deformity of the skull from the left fronto-parietal side across to the superior sagittal sinus. Initial magnetic resonance imaging showed a mass lesion in the left frontal lobe and en plaque mass just below the markedly thickened skull. We performed removal of the abnormal skull and tumor due to the progressing symptoms. After pathological examinations, tumor was diagnosed as meningothelial meningioma. Symptoms gradually improved, and he resumed his previous daily life. We discuss this unique tumor with reference to the literatures. (Received September 10, 2013;accepted December 2, 2013)

A Case of Meningioma with Prominent Cranial Bone Deformation