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Therapeutic Strategies of the Intracranial Meningioma in Elderly Patients
Journal of Korean Neurosurgical Society ; : 217-223, 2007.
Artigo em Inglês | WPRIM | ID: wpr-206530
ABSTRACT

OBJECTIVE:

The apparent increase in the incidence of the intracranial meningiomas in the elderly is due in part to improved diagnostic tools and improved span of life. The authors carried out a retrospective study to validate the use of the Clinical-Radiological Grading System (CRGS) as a clinical tool to orientate surgical decision making in elderly patients and to explore prognostic factors of survival.

METHODS:

From January 1997 to January 2006, the authors consecutively recruited and surgically treated 20 patients older than 65 years of age with radiologic findings of intracranial meningiomas and a preoperative evaluation based on the CRGS.

RESULTS:

High CRGS score was associated with a higher probability of good outcome (p=0.004) and a lower probability of postoperative complications (p=0.049). Among the different subset items of the CRGS score, larger maximum tumor diameters (D> or =4cm) and the presence of a severe peritumoral edema were associated with incidence rate of postoperative poor outcome and complications (p<0.05). Additionally, the critical location of the tumor was also correlated with poor outcome (p<0.05).

CONCLUSION:

A CRGS score higher than 13 is a good prognostic indication of survival. The CRGS score is a useful and practical tool for the selection of elderly patients affected by intracranial meningiomas as surgical candidates.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Complicações Pós-Operatórias / Prognóstico / Incidência / Estudos Retrospectivos / Tomada de Decisões / Edema / Meningioma Tipo de estudo: Estudo de incidência / Estudo observacional / Estudo prognóstico Limite: Idoso / Humanos Idioma: Inglês Revista: Journal of Korean Neurosurgical Society Ano de publicação: 2007 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Complicações Pós-Operatórias / Prognóstico / Incidência / Estudos Retrospectivos / Tomada de Decisões / Edema / Meningioma Tipo de estudo: Estudo de incidência / Estudo observacional / Estudo prognóstico Limite: Idoso / Humanos Idioma: Inglês Revista: Journal of Korean Neurosurgical Society Ano de publicação: 2007 Tipo de documento: Artigo