SummaryWe describe the case of an 89-year-old woman who presented with slowly progressing incomplete paraplegia caused by a thoracic intradural extramedullary meningothelial meningioma WHO grade I. At admission, the patient was not able to walk on her own and was severely impaired in her daily activities. Following surgery, the patient completely recovered from her symptoms, including regained ability to walk unassisted. This case exemplifies, that surgical resection of intradural extramedullary meningothelial meningioma might not be omitted in the very elderly, as good outcome can restore independency. We discuss these findings accordingly.