|
KMID : 1001920070410040217
|
|
Journal of Korean Neurosurgical Society
2007 Volume.41 No. 4 p.217 ~ p.223
|
|
|
Therapeutic Strategies of the Intracranial Meningioma in Elderly Patients
|
|
Song Young-Jin
Sung Soon-Ki
Noh Seung-Jin
Kim Hyung-Dong
|
|
|
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 (DI4cm) 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.
|
|
|
KEYWORD
|
|
|
Intracranial meningioma, CRGS, Elderly patients, Prognosis
|
|
|
FullTexts / Linksout information
|
|
 
|
|
|
Listed journal information
|
|
   
|