Surgical outcomes and predictors of complication in elderly patients with meningiomas
| Autor: | M. M. Ellabban, Ayman Galhom, A. A. Madawi |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Scoring system Neurology Geriatric Scoring System lcsh:RC321-571 Meningioma 03 medical and health sciences 0302 clinical medicine medicine lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry Severe complication business.industry General Neuroscience Incidence (epidemiology) Research medicine.disease Surgery Psychiatry and Mental health 030220 oncology & carcinogenesis Radiological weapon Elderly meningioma Neurology (clinical) Neurosurgery Pshychiatric Mental Health business Complication 030217 neurology & neurosurgery |
| Zdroj: | The Egyptian Journal of Neurology, Psychiatry and Neurosurgery The Egyptian Journal of Neurology, Psychiatry and Neurosurgery, Vol 54, Iss 1, Pp 1-12 (2018) |
| ISSN: | 1110-1083 |
| Popis: | Background Surgical management of symptomatic meningioma in elderly is still a high-risk surgery due to increased incidence of complication rate. Many scoring systems have been proposed to expect the surgical risk and the outcome. The study tries to assess cranial meningioma surgery in elderly using the Ibañez grade for complication rate and the Geriatric Scoring System (GSS) for the surgical outcome (GSS). Methods A clinical and radiological data were studied retrospectively in 42 patients with a primary intracranial meningioma at or above the age of 65. Complication rate, surgical risk, and outcome were statistically analyzed. Results The mean Geriatric Scoring System (GSS) score on admission was 15.4 ± 2.6. Ibañez grade of severe complication or death (grades III–IV) were experienced in 26.2% of patients. It was more common in male and in emergency cases, but it was significant in relation to the comorbidities (P 16 were more frequent in the patient with RFS than those of 70, the mean GSS was 18.9, and it was statistically significant (P 70, and RFS are favorable prognosis and related to GSS > 16 scores. The recurrence rate is usually attributed to high tumor grade and skull base tumor. Such scoring systems are valuable for elderly meningioma. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|