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Arch Intern Med. 2002;162:2487-2488.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Report of a Case

A 78-year-old woman presented with an acute onset of urinary incontinence and paraparesis. She also had hypertension and a 1-year history of memory impairment and personality changes, before which she had been able to live alone and take care of herself. Physical examination revealed a 4 x 7-cm soft pulsatile mass bulging centrally on her forehead. The neurologic examination demonstrated a lack of orientation to time and place and paraparesis, with the right leg being weaker than the left. Magnetic resonance imaging revealed the presence of a bilateral extra-axial mass in the frontal region that measured up to 7 cm in anteroposterior diameter and 9 cm in transverse diameter (Figure 1). The mass appeared to extend through the anterior floor of the skull into the superior nasal septum. The patient underwent a bifrontal craniotomy and was found to have a 4 x 4-cm defect in the frontal bone. . . . [Full Text of this Article]

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