This case illustrates a solid skull base tumor invading the cavernous sinus bilaterally. Despite the benign histological features of a meningioma, this location is a problem for surgical resection, which usually results in severe neurological deficits and just partial debulking. Stereotactic radiosurgery or fractionated stereotactic radiotherapy are treatment options for those patients with inoperable and symptomatic tumors like this one.