High serum lactate level in cranial meningioma resection: A case report

Int J Surg Case Rep. 2015:15:1-4. doi: 10.1016/j.ijscr.2015.08.019. Epub 2015 Aug 14.

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.

Keywords: Hypo-perfusion; Meningioma; Serum lactate.