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British Journal of Anaesthesia, 1995, Vol. 74, No. 3 335-337
© 1995 The Board of Management and Trustees of the British Journal of Anaesthesia

case-report

Clinical presentation of "silent" meningiomas after general anaesthesia

P. A. RAZIS, MB, CHB, FRCA, D. L. ROBINSON, MB, BS, FRCA and R. ALBERRY, MB, BS, FRCA

St George's Hospital Blackshaw Road, Tooting, London SW17 0QT
Frankston Anaesthetic Services 25 Hastings Road, Frankston, Victoria, Australia 3199

We present two patients who became unrousable within 48 h after general anaesthesia for non-neurosurgical operations; both were found to have frontal meningiomas. Analysis of these and previous reports suggest that several anaesthetic and peri-operative factors probably combine to contribute to the accelerated presentation of these previously "silent" tumours, and we recommend that dexamethasone should be administered early in the course of unexplained neurological deterioration after operation. (Br. J. Anaesth. 1995; 74: 335–337)

Present address: Department of Anaesthesia, Charing Cross Hospital, Fulham Palace Road, London W6 8RF.


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