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Background: Description of a meningioma arising from the paranasal sinuses (bilateral frontal and ethmoidal sinus origin). Material and method: A 54-year-old patient with meningioma originating in bilateral frontal and ethmoidal sinus and invading the right orbit. Results. The management of the case is presented. Conclusion. Meningiomas originating in the paranasal sinuses are very rare. They are ectopic and there are only a few cases reported in literature.