Poster 66 Levodopa/Carbidopa to Improve Motor Recovery After Brain Tumor Excision: An N-of-1 Case Report

All three patients experienced gait instability and cranial nerve deficits before surgery, and two of the patients had mild cognitive deficits. Patients suffered cranial neuropathies ranging from cranial nerves IV through X and XII. Program Description: The customized interdisplinary rehabilitation plan required the services of speech therapists, audiologists, physical therapists, occupational therapists, neuropsychologists, physiatrists, otolaryngologists, ophthalmologists and optometrists. Setting: Referral based tertiary cancer center. Results or Clinical Course: Each patient showed demonstrable gainsinfunctionwithinpatientrehabilitationandgoodoutcomesat discharge. Discussion: Intracranial epidermoid cysts are uncommon, slowgrowing brain tumors often found in the cerebellopontine angle. Due to their location, symptoms may present with a complex combination of headache, cerebellar dysfunction, and cranial nerve deficits affecting functional status. This is the first report of the rehabilitation of cerebellopontine angle epidermoid cyst patients. Conclusions: The findings suggest that a customized inpatient rehabilitation plan can result in functional gains. More research on the rehabilitation of these rare tumors is needed.