Presented with deterioration in walking and balance for around 2-3 weeks prior to seeking medical review, and was walking with 2 Fischer sticks. Diagnosed with atypical Meningioma, which was compressing his brainstem. Treated with surgery 17/09/23 to remove 95% at Wessex Neuro Centre, and left with bulbar symptoms. He was discharged home on 29/09/23. Following this he had difficulties with blood pressure regulation, swallow and mobility. Due to difficulties with swallow, he lost a significant amount of weight.
• General deconditioning, most prevalent in left lower limb
• Mild decreased left lower limb co-ordination
• Decreased static and dynamic balance
• Decreased vestibular and sensory integration
• Diplopia
• Dysarthria- PEG fed and unable to manage his saliva without use of a portable suction machine
• Postural hypotension
• Using a portable suction machine to manage his saliva
• Mobilising using a 4 wheeled walker inside
• Managing stairs with assistance of one
• Wash and dress with assistance of one in sitting
• Assistance for meal preparation and household chores
• Altered role within family, and unable to work
• Unable to drive
• Physiotherapy and Speech and Language Therapy outpatient assessment session
• 6 Physiotherapy outpatient sessions
• 5 Speech and Language Therapy outpatient sessions
• Walking independently unaided inside
• Walking unaided outside on the level, using a walking stick for hills and on uneven surfaces such as the beach
• Walking up the stairs to watch football
• Eating a normal diet and drinking normal fluids
• Managing his own saliva without a suction machine
• Return to wash and dressing independently
• Beginning gradual return to work
Don’t just take our word for it – take theirs.
