CASE DESCRIPTIONA 49-year-old male patient with no previous comorbidities presented to our hospital with a main complaint of discontinuous dizziness for one month. The dizziness was paroxysmal onset without obvious cause. General physical examination demonstrated right facial muscle atrophic, with no other abnormality. All the neurologic examination was negative.Computed tomography (CT) scan of the brain discovered a slight hypodensity mass (4.2cm×5.2cm) in the right middle-posterior cranial fossa with internal high-density dots in the tumor (Fig. 1A). The tumor deformed the ethmoid bone, destroyed the greater wing of the sphenoid bone and the petrous apex area, and extended to the carvernous sinus and posterior cranial fossa. The pons was compressed. CT value of the spotty high-density was about 350HU, consistent with localized intratumoral calcification and hemorrhage. CT images in bone window demonstrated absorption and thinning of the sphenoid and ethmoid bone without destruction (Fig. 1B). The brain magnetic resonance imaging (MRI) showed a 4.1cm×5.4cm×4cmwell-circumscribed extra-axial mass in the parasellar and cerebellopontine angle region of right middle-posterior cranial fossa (Fig. 2). The right fifth-sixth cranial nerve was displaced by the mass. The lesion demonstrated heterogeneous isointensity or slight hypointensity on T1-weighted image (T1WI), heterogeneous hyper-to slight hypointensity on T2-weighted image (T2WI) (Fig. 2A). It compressed G