Results in the operative treatment of elderly patients with intracranial meningioma

Citation
R. Buhl et al., Results in the operative treatment of elderly patients with intracranial meningioma, NEUROSURG R, 23(1), 2000, pp. 25-29
Citations number
20
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Neurology
Journal title
NEUROSURGICAL REVIEW
ISSN journal
0344-5607 → ACNP
Volume
23
Issue
1
Year of publication
2000
Pages
25 - 29
Database
ISI
SICI code
0344-5607(200003)23:1<25:RITOTO>2.0.ZU;2-G
Abstract
With life expectancy in the industrial nations increasing during recent yea rs, the number of patients older than 70 years with intracranial tumours an d, especially, meningiomas is rising. To evaluate the indications for opera tive treatment, we reviewed 66 patients older than 70 years who were operat ed upon for intracranial meningioma in our department between 1991 and 1997 . The mean age was 75 years. The oldest patients were 86 years old. Thirtee n patients with recurrent meningiomas were operated upon. The mortality rat e was 7.6%. Neurological symptoms improved in 38 patients (57.6%), were unc hanged in 11 (16.6%), and deteriorated in 12 (18.2%). Patients with recurre nt meningiomas seem to have a higher operative risk and their outcome is wo rse than after a primary operation. In general, there were good postoperati ve results in patients with few concomitant diseases, small meningiomas, sm all edema, short time of operation, and accessible location (convexity rath er than skull base). Age in general is not a contraindication for operation . In cases of incidental findings of small meningiomas, we recommend observ ation and MRI follow-up. Symptomatic meningiomas should be removed whenever there is an acceptable risk from an internal or anaesthesiological point o f view.