Intracranial atypical meningioma with multiple pulmonary metastases: illustrative case

This case demonstrates that long-term stability of pulmonary metastases from atypical meningioma is possible under conservative management. Structured surveillance with periodic cranial and thoracic imaging may be appropriate for asymptomatic patients, while reserving surgical or radiotherapy options for those with progressive or symptomatic disease. https://thejns.org/doi/10.3171/CASE25761.