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Department of Neurosurgery, Social Security Okmeydani Teaching Hospital Istanbul / Turkey Meningiomas rarely occur in the pineal region. Total removal should be performed because of their benign characteristics. Meningiomas can reach huge diameters in the pineal region. Classical pineal approaches may be insufficient during the total removal of giant or large pineal meningiomas.

In this report, we present two cases of giant pineal meningioma in which a combination of modified classical surgical approaches to the pineal region were used. Keywords : Meningiom, pineal region, surgery