Publication:

Silent meningioma: a cause of quadriperesis in total knee arthroplasty

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.