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We present a case of histologically confirmed lipomatous meningioma, the first to our knowledge reported in Hong Kong. A 75-year-old woman presented to us with on and off dizziness for 1 month. Computed tomography (CT) of the brain showed an extra-axial mass lesion containing fat and solid enhancing foci at her right frontal region. The definitive diagnosis could be made preoperatively. Postoperative histological examination of the tumour revealed the diagnosis of lipomatous meningioma. We have reviewed the literature and discussed the diagnostic clues, clinical presentation and pathology of this rare tumour.