A 58-year-old woman with a presumed incidentally discovered meningioma in t
he left lateral ventricle was treated by superselective embolisation and ga
mma knife therapy. The diameter of the tumour was 30 mm, and its main feedi
ng artery was the left lateral posterior choroidal artery. This vessel was
embolised with microcoils, At 8 months following embolisation, the diameter
of the tumour had decreased and was stable. The gamma knife was chosen as
an adjuvant therapy for the further control 13 months alter embolisation. E
mbolisation and gamma knife therapy may be an alternative treatment for men
ingiomas where surgical resection appears difficult.