experience of intracranial meningioma

ABSTRACT

Meningiomas are benign tumours of brain. Surgical removal including resection of involved bone and dura is curative in 90% of cases. However complete removal may entail unwarranted risk if the tumour involve or is adjacent to venous sinuses or neural structure. Thirty three cases of meningiomas were treated in the Department of Neurosurgery, Bolan Medical College,Quetta from 1992 to 2002. There were 5 perioperative deaths. Nineteen patients underwent complete tumour removal while in 14 patients subtotal or decompressive surgery was performed. Pre and postoperative neurological status of patients was rated accorted to Karnofsky rating scale. Six patients had karnofsky rating scale below 70 preoperatively. The average survival time with good quality of life was 8.5 years. The preoperative clinical condition, size of tumor, age and location and postoperative complications affected the overall outcome and quality of life. Four patients develop recurrence of tumor