To define the natural history of asymptomatic meningioma found incidentally
on a neuroimaging study, we performed a retrospective analysis of 35 such
patients. There were 32 women and three men, with a mean age of 67 years an
d a mean follow-up of 74 months. Four tumors had progressed on subsequent i
maging, and one patient developed symptoms related to the meningioma. Nonca
lcified tumors were more likely to progress than calcified tumors.