Clinical Features and Surgical Management of Intracranial Meningioma’s in the Elderly

Abstract

Objective: Given the threat related with surgical intervention of intracranial meningiomas in the older population because of maturing physiology and numerous co morbidities, an endeavor was made to distinguish mediators impacting results and to characterize a category of individuals who ought not be surgically treated because of deprived prognosis. Study Setting: The study was conducted in neurosurgery unit mardan medical complex / bacha khan medical college Name of Hospital, Pakistan. Methods: The investigation of 58 individuals over the age of 70 years was conducted to determine short- and long-term results. Additionally, we derived scores for our patients using the previously reported CRGS, SKALE, and GSS grading systems. Result: As per the SKALE reviewing framework, neurological grimness was exclusively associated with a crucial site (P=0.02). Six people (10.3 percent) capitulated to their wounds. The Karnofsky score (KPS 60 versus KPS 70; P=0.0162), the American Society scale status (ASA 1 or 2 versus ASA 3; P=0.0022), and the evaluation of meningioma’s were totally connected with mortality (P=0.012). The WHO grade (P=0.00048) and Simpson evaluation of resection (P=0.0437) were related with tumor repetition in six cases. Except for patients who died because of medical procedure or reoccurrence (15.5%), majority of subjects improved (50%) or remain unaltered (25.9%) in contrast with their karnofsky score before surgery. Conclusion: Neurological impairment following surgery was only observed in patients with a significant tumor placement (skull base, eloquent area, large vessels indulgence by the tumor). Because of the greatly increased threat of fatality, surgery should be carefully considered in individuals with a low functional state (KPS 60) or a bad bodily state (ASA 3 status). During routine visits, the majority of patients’ neurological health enhanced or remains constant in comparison to their condition before operation.