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Petrous face meningioma presents a significant difficulty in neurosurgery because of its complex anatomical position near cranial nerves, brainstem, and important blood vessels. This case report describes the clinical course and successful surgical treatment of a 50-year-old female patient who had a two-month history of ataxia, along with a one-week episode of severe headache and vomiting. An MRI verified the existence of a petrous face meningioma after a thorough diagnostic assessment. Following that, the patient had a left retro-sigmoid craniotomy, which led to the complete excision of the tumour and relief of symptoms. A thorough one-month follow-up examination showed no recurring symptoms, suggesting a positive result and successful clearance of the meningioma. This case highlights the need of timely diagnosis and surgical treatment in dealing with petrous face meningioma, focusing on attaining complete tumour excision. This case demonstrates the success of complete removal of a tumour and the possibility of full return of neurological function in individuals with similar symptoms. This article enhances the current literature by offering insights into the management of petrous face meningioma and recommending a thorough surgical strategy to improve patient outcomes.