Document Detail

Early post operative visual outcome in microsurgically treated suprasellar meningiomas predict long-term visual outcome.
MedLine Citation:
PMID:  19107684     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Different data exist regarding long-term visual prognosis associated with suprasellar meningiomas. The aim of this study was to determine the outcome of suprasellar meningiomas with respect to short and long-term visual outcomes. METHOD: During the period of 1997 to 2006, 45 patients were operated either through a pterional (30) or bifrontal (15) approach. Visual parameters were evaluated early and late post-operatively. RESULTS: 5 patients died post-operatively and 2 cases failed to attend follow up. During the early post-operative period, 15 (39.5%) showed improvement and 9 (23.7%) worsening of vision among 38 patients. Patients were followed-up for 1 to 8 years with mean of 4.1 years. Follow-up data revealed that 26 (68.4%) patients had visual improvement in at least one eye (10 of them in both eyes) while 10 (26.3%) patients had visual deterioration in one or both eyes. Data showed no significant correlation between visual outcome and extent of tumor removal or surgical approach. Visual outcome was better in patients with preoperative vision > 1mfc (p-value=0.001). Data also showed that early post-op vision significantly correlates with long term visual outcome (p-value =0.003). CONCLUSION: Visual outcome is better in patients with preoperative vision > 1 mfc and early post-operative vision significantly correlates with long term visual outcome.
Masoud Mehrazin; Reza Mirfalah
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Turkish neurosurgery     Volume:  18     ISSN:  1019-5149     ISO Abbreviation:  Turk Neurosurg     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-12-24     Completed Date:  2009-04-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9423821     Medline TA:  Turk Neurosurg     Country:  Turkey    
Other Details:
Languages:  eng     Pagination:  380-6     Citation Subset:  IM    
Tehran University of Medical Science, Shariatti Hospital Neurosurgery ward, Tehran, Islamic Republic of Iran.
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MeSH Terms
Follow-Up Studies
Magnetic Resonance Imaging
Meningioma / pathology,  surgery*
Middle Aged
Neoplasm Recurrence, Local
Neurosurgical Procedures*
Postoperative Complications / epidemiology*,  mortality
Prospective Studies
Quality of Life
Tomography, X-Ray Computed
Treatment Outcome
Vision Disorders / epidemiology*,  etiology*
Vision Tests
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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