Document Detail

Results in the operative treatment of elderly patients with intracranial meningioma.
MedLine Citation:
PMID:  10809483     Owner:  NLM     Status:  MEDLINE    
With life expectancy in the industrial nations increasing during recent years, the number of patients older than 70 years with intracranial tumours and, especially, meningiomas is rising. To evaluate the indications for operative treatment, we reviewed 66 patients older than 70 years who were operated upon for intracranial meningioma in our department between 1991 and 1997. The mean age was 75 years. The oldest patients were 86 years old. Thirteen patients with recurrent meningiomas were operated upon. The mortality rate was 7.6%. Neurological symptoms improved in 38 patients (57.6%), were unchanged in 11 (16.6%), and deteriorated in 12 (18.2%). Patients with recurrent meningiomas seem to have a higher operative risk and their outcome is worse than after a primary operation. In general, there were good postoperative results in patients with few concomitant diseases, small meningiomas, small edema, short time of operation, and accessible location (convexity rather than skull base). Age in general is not a contraindication for operation. In cases of incidental findings of small meningiomas, we recommend observation and MRI follow-up. Symptomatic meningiomas should be removed whenever there is an acceptable risk from an internal or anaesthesiological point of view.
R Buhl; A Hasan; A Behnke; H M Mehdorn
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  Neurosurgical review     Volume:  23     ISSN:  0344-5607     ISO Abbreviation:  Neurosurg Rev     Publication Date:  2000 Mar 
Date Detail:
Created Date:  2000-07-20     Completed Date:  2000-07-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7908181     Medline TA:  Neurosurg Rev     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  25-9     Citation Subset:  IM    
Department of Neurosurgery, University of Kiel, Germany.
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MeSH Terms
Aged, 80 and over
Magnetic Resonance Imaging
Meningioma / pathology,  radionuclide imaging,  surgery*
Neoplasm Recurrence, Local
Neurosurgical Procedures*
Retrospective Studies
Tomography, X-Ray Computed

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