Osteoma is usually a slow growing, asymptomatic benign boney neoplasm that occurs most commonly in the paranasal sinuses and the mandible. Osteoma treatment depends on the size and the location of the lesion and the symptoms it is causing. Treatment options include surgical excision, debulking, shaving, condylectomy, or no treatment with observation. We are reporting a case of 56-year-old female who presented with a peripheral osteoma of the base of the skullof a considerable large sizewith a history of dizziness and tinnitus. However, inthis case, surgical intervention was not done due to the sensitive anatomical location and the size of the lesion.