“…It is generally agreed that some meningiomas are clinically malignant, as witnessed by rapid growth, invasive tendency, and, rarely, extracranial metastasis. Winkelman, Cassel, and Schlesinger (1952) found 10 acceptable examples of metastasis, to which may be added the cases reported by Christensen, Klaer, and Winblad (1949), Swingle (1949), Laymon and Becker (1949), Cross and Cooper (1952), Shozawa (1952), Zulch, Pompeu, and Pinto (1954), Rosen and Branch (1954), and Lima (1951), in all at least 19. But whether in practice clinical recurrences are more likely to result from the intrinsic malignancy of the tumours, rather than from the inadequacy of the surgical resections, is still disputable.…”