High serum lactate level in cranial meningioma resection: A case report. (2015)

• Record Type: Journal Article
• Authors: Khalil, Ayman; Mohamed, Mohamed Albagir; Kaye, Amanda Erin; Okafo, Uchenna; Dunlea, Orla; O'Brien, Declan; Lim, Chris
• Is Part Of: International journal of surgery case reports. Volume 15(2015)
• Page Start: 1
• Page End: 4
• Publication Date: 2015
• Subjects: Meningioma -- Serum lactate -- Hypo-perfusion; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgery; Electronic journals; Periodicals; 617.005
• DOI: 10.1016/j.ijscr.2015.08.019
• Languages: English
• ISSNs: 2210-2612

Abstract

Highlights: Peri-operative elevated serum lactate could be a sign of high risk of morbidity among affected patients. The rise in serum lactate level can be associated with metabolic acidosis in patient with systemic hypo-perfusion. Elevation in serum lactate level during a large meningioma resection could be transient and may not result in morbidity. Abstract: Background: Peri-operative elevated serum lactate could be a sign of high risk of morbidity among affected patients. However, this finding can be self-limiting and with no consequences in some conditions. Case presentation: We present a case of transient elevated serum lactate level in a 33 year old man that underwent a cranial meningioma resection. The patient had an elevation of serum lactate levels peri-operatively, with a spontaneous gradual decline in the serum lactate five hours post-operatively. The patient had an otherwise uncomplicated post-operative course and was discharged home on the fifth post-operative day. Conclusion: Elevation in serum lactate level during a large meningioma resection could be transient and may not result in morbidity.