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Department of Neurosurgery, School of Medicine, Hacettepe University, Ankara, Turkey A 70-year-old male was operated for bilateral parasagittal meningioma. He suffered bilateral venous infarcts postoperatively. The craniotomy flap was removed and a duraplasty procedure was performed. One month later, the patient deteriorated with sinking of his skin flap. Holding the patient intermittently in Trendelenburg's position improved his neurological status. Keywords : Parasagittal meningioma, Sinking skin flap syndrome, Tumor