• Zhikang Tian, Qingwei Li, Sheng Gao, and Chunyang Meng.
• Jining Medical University, Jining, China.
• Medicine (Baltimore). 2023 Nov 10; 102 (45): e35970e35970.

RationaleLimb dysfunction is not uncommon clinically after intramural tumor surgery. However, there are no relevant literature reports on the recovery of unilateral motor function caused by spinal cord dysfunction after short-term observation and treatment. The report of such cases is of great value for improving the cognition of postoperative complications of meningioma reducing misdiagnosis and providing reference for clinical treatment.Patient ConcernsA 73-year-old female patient with numbness and weakness in both lower limbs accompanied by unstable walking for 2 months. Combined with imaging data and postoperative pathological diagnosis, it was diagnosed as thoracic spinal meningioma. The patient experienced transient unilateral limb dysfunction after surgery.DiagnosesMagnetic resonance imaging and its enhanced magnetic resonance imaging suggest a space occupying lesion on the left side of the spinal canal at the level of the thoracic 3 to 4 vertebral body, possibly a meningioma. The postoperative pathology was grade I meningioma.InterventionAdminister 10 mL of dexamethasone, 1 g of methylprednisolone, and 250 mL of mannitol for treatment.OutcomesAfter 3 hours, the patient's muscle strength gradually recovered, and after 12 hours, it was better than the preoperative level.ConclusionSpinal cord dysfunction may occur after surgery for intraspinal meningioma in the upper thoracic spine. Unlike spinal cord dysfunction caused by spinal cord injury, this dysfunction is short-term and transient. The use of hormones and diuretics is a feasible solution that can quickly restore patient limb function.Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc.

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