Table 1: Summary of case reports of symptomatic meningioma after neuraxial anesthesia.
Case |
Technique |
Onset, Signs and Symptoms |
Tumor |
Outcome |
Source |
64 F, Uteropexy |
Spinal |
POD 10, Somnolence, Fever and Meningeal signs due to intratumoral abscess |
2.5 cm, Frontal |
Recovered to pre-surgical baseline |
Shimomura [7] |
49 F, Knee replacement |
Spinal |
6h post-op, Altered mental status, Urinary incontinence, Hyponatremia |
3.2 cm, Sphenoid |
Referred to neurosurgery |
Marghade [8] |
82 F, Hip surgery |
L2-3 CSE |
POD 2, Dyspnea, Delirium progressing to coma |
5-6 cm, Frontal |
Death |
Guner [9] |
86 F, Hip replacement |
L3-4 Spinal |
8h post-op, Agitation and Disorientation |
Large, Infra- tentorial |
Complete recovery |
Metterlein [10] |
55 M, Prostatectomy |
L2-3 Epidural |
POD 1, Somnolence progressing to unresponsiveness, Cushing’s triad |
7 cm, Frontal |
Complete recovery |
Brzezinski [11] |
60 F, Whipple |
T9-10 Epidural |
POD 5, Left-sided weakness |
6.5 cm, Parietal |
Complete recovery |
Current case |
CSE: Combined Spinal Epidural; POD: Post-operative Day