Impact of peritumoral brain edema on pre- and postoperative clinical conditions and on long-term outcomes in patients with intracranial meningiomas

Autor: Hajrullah Ahmeti, Amke Caliebe, Christoph Röcken, Olav Jansen, Maximilian H. Mehdorn, Michael Synowitz
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: European Journal of Medical Research, Vol 28, Iss 1, Pp 1-15 (2023)
Druh dokumentu: article
ISSN: 2047-783X
DOI: 10.1186/s40001-022-00962-y
Popis: Abstract Background Peritumoral brain edema (PTBE) is a common complication related to intracranial meningiomas. In several studies, researchers have investigated the pathogenesis of PTBE, and the factors involved in its development in patients with intracranial meningiomas have been reported. However, very little is known about the clinical effect of PTBE on patients with intracranial meningiomas; therefore, a systematic examination of this matter is necessary. Methods In this study, we performed a systematic examination of 696 patients with primary intracranial meningiomas to assess the effect of preoperative PTBE on preoperative symptoms, neurological deficits and postoperative complications, and long-term outcomes with a follow-up period of 16.8 years. We performed a univariate analysis and multiple regression for specific outcomes and adjusted for other relevant clinical factors. Results A total of 627 (90.1%) patients were symptomatic preoperatively. One hundred eighty-eight (90.8%) patients with small to moderate PTBE and 125 (98.4%) patients with severe PTBE presented with symptoms significantly more often than the 314 (86.7%) patients without PTBE (p
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