Postoperative rehabilitation of a patient with resected aggressive parasagittal meningioma infiltrating the superior sagittal sinus and presenting with paraplegia.

The aim of this case report is to describes the postoperative neurological complications and importance of early rehabilitation course of a patient with an aggressive parasagittal meningioma. The particular emphasis on the role of intensive, multidisciplinary rehabilitation in the setting of postoperative spastic paraplegia. The program included physiotherapy, assisted verticalization, gait and locomotion training, proprioceptive neuromuscular facilitation techniques, and psychological support. Clinical status, imaging findings, and functional recovery were evaluated during rehabilitation. A 47-year-old woman with frontoparietal parasagittal tumor infiltrating the superior sagittal sinus underwent preoperative embolization followed by microsurgical resection. Postoperatively, patient developed bilateral spastic paralysis of the lower limbs, complicated by cerebrospinal fluid leakage and surgical-site infection. After neurosurgical treatment of parasagittal meningiomas involving the superior sagittal sinus severe neurological deficits may occur. This case shows the importance of early, structured and multidisciplinary rehabilitation as an essential component of postoperative care. Early rehabilitation may contribute to functional improvement and preservation of quality of life even in patients with severe motor deficits.