Silent meningioma: a cause of quadriperesis in total knee arthroplasty

Suresh B.; Chandrashekar P.; Nataraj H. M.

doi:10.18203/issn.2455-4510.IntJResOrthop20173946

Authors

Suresh B. Department of Orthopaedics, Subbaiah Institute of Medical Sciences, Shivamogga, Karnataka, India
Chandrashekar P. Department of Orthopaedics, Sakra World Hospital, Bangalore, Karnataka, India
Nataraj H. M. Department of Orthopaedics, Sakra World Hospital, Bangalore, Karnataka

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20173946

Keywords:

quadriperesis, meningioma, TKA

Abstract

Total knee arthroplasty (TKA) is a treatment for end stage osteoarthritis. Majority of them in the older age group with associated co-morbidities and increased the risk for stroke. Asymptomatic meningiomas may become symptomatic and presents with variable symptoms depending on the size and location of the tumour. We report a case of a 58 years old lady who underwent bilateral TKA under combined spinal epidural anaesthesia with an uneventful post-operative course with post-operative analgesia. Patient developed dysphasia and weakness in upper and lower limbs. Following computed tomography of the brain revealed a meningioma in the falx region. Patient treated with steroid and underwent elective surgery for meningioma without any complications. Asymptomatic brain tumours can become symptomatic after surgery and urgent initiation of neurologic evaluation and strong recommendation to initiate intracranial pressure management oriented therapy in time.

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Author Biography

Suresh B., Department of Orthopaedics, Subbaiah Institute of Medical Sciences, Shivamogga, Karnataka, India

Deptatment of Orthopaedics,

Subbaiah instititue of medical science

N.H 13, Holehonnur Road,

Purle, Shivamogga- 577222

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