Meningioma is a common benign intracranial tumor, and very rarely it may become malignant. It has the characteristics of slow growth and insidious onset. By the time patients are seen, the tumor is often already large and involves more nerves and blood vessels, so the best time for treatment is often lost, which affects the outcome. Meningiomas can grow in many parts of the skull, but meningiomas growing in the skull base in the rocky diagonal region are the most difficult to treat and have the highest risk, mortality and disability rates. The incidence of meningiomas in the diastasis is less than 2%, but the growth pattern is complex and variable, often growing in multiple directions along the skull base, upward beyond the curtain notch, forward into the middle cranial fossa to the paracranial region with or without cavernous sinus invasion, backward to compress the brainstem, laterally to reach or exceed the internal auditory canal, and downward to the jugular foramen or greater occipital foramen. With such extensive invasive growth, the tumor may be in close contact with the brainstem, multiple cranial nerves, the trunk and branches of the vertebrobasilar artery, and even the internal carotid artery. Radical tumor resection is often associated with high morbidity and mortality from neurological deficits. The average reported mortality rate over the last decade or so is about 5-10%, and the permanent neurological impairment rate is about 40-50%. This is why meningiomas in the rock slope region have long been a prohibitive point within the field of neurosurgery. As skull base surgery continues to evolve, various surgical approaches for meningiomas in the lamina cribrosa have become increasingly familiar and well understood. Nevertheless, surgical management of meningiomas in the rock slope region is still time-consuming, laborious, and extremely risky, and remains a challenge for neurosurgeons. Because of the involvement of important neurovascular structures, surgical procedures are often associated with severe neurological impairment and are difficult to achieve radical resection. Therefore, the balance between maximizing patient benefit and minimizing the incidence of neurological dysfunction and tumor recurrence, and how to achieve the best treatment outcome, is one of the main concerns of skull base surgery. At present, the application of large-scale examinations such as MRI in population physical examination should be strengthened to strive for early detection and early treatment. If there are symptoms of neurological discomfort in the brain, it is more important to go to the hospital for examination early. Once such disease is detected, choosing the appropriate individualized treatment plan is crucial for patients with meningiomas in the rocky diagonal region! The choice of a major neurosurgical center is crucial for patients with meningioma of the lamina cribrosa!