Nutrition Therapy in Loss of Conciousness Patient due to Meningioma with Severe Protein Energy Malnutrition, Anemia and Hypoalbuminemia
Salmawati Maryati (a),Devintha Virani (b),Nurpudji A Taslim (b)Nurbaya Syam (b)

(a) Clinical Nutrition Specialist Program, Hasanuddin University School of Medicine, Indonesia
(b) Nutrition Departement, School of Medicine Hasanuddin University, Indonesia

E-mail Address:salmawatimaryati58[at]gmail.com(S.Maryati)

Abstract

Introduction: Severe malnutrition is associated with poor outcomes and higher mortality in Meningioma patients. Meningioma is generally benign. The grade of tumor correlates to clinical outcome of patients, due to the inflammatory process and hypercatabolic conditions which cause increased nutritional requirements.

Case Report: A 23-years-old woman admitted to hospital with severe protein energy malnutrition, loss of consciousness (GCS E3M6V4) due to meningioma since six days ago. There was history of low food intake since 7 months ago due to decreased of appetite orally. Physical examination showed anemia conjunctiva, loss of subcutaneous fat, and muscle wasting. Laboratory assessments showed anemia, leukocytosis, thrombocytosis, hyponatremia, hypoalbuminemia, depletion of immune system. Nutritional therapy was given gradually with a target calorie of 1650-2500kcal and protein 1.5-2g/ideal body weight/day by combination of soft diet (blendered) and high protein formula enterally and amino acid-contained parenteral nutrition. Supplementation were administered zinc, vitamin C, vitamin A, curcumin, snakehead fish extract and B complex, via enteral feeding. After 46 days of nutritional therapy, the patient was discharged with improvement of conciousness, adequate nutritional intake, improvement of anthropometric and laboratory test.
Conclusions: Adequate nutritional therapy improved nutritional status and clinical outcome in meningioma patients. High protein diet has a significant effect to balance hypercatabolic and prevent worsen outcome of patient.

Keywords: Meningioma, malnutrition, inflammation

Topic: Dietetics and nutrition