Intracranial meningiomas in the aged: surgical outcome in the era of computed tomography.

Abstract:

:Seventy-five patients older than 60 years of age underwent surgical resection of intracranial meningiomas during a 10-year period at a single institution. All patients had a computed tomographic scan preoperatively, and all were followed for at least 3 months postoperatively. There were 50 patients 61 to 70 years of age (Group A), and 25 patients older than 70 years (Group B). Sixteen patients (21%) were asymptomatic, and no patient was severely disabled preoperatively. Operative morbidity and mortality and outcome at 3 months were assessed and correlated with age, preoperative neurological status, and tumor size and location. Operative mortality was 6.6% (6% in Group A; 8% in Group B). Perioperative morbidity (including medical and surgical complications and worsening in neurological status) was 48% (46% in Group A; 52% in Group B). Neurological status 3 months after surgery was improved by at least one grade as compared to before surgery in 40% of patients (38% in Group A; 44% in Group B), unchanged in 29% (34% in Group A; 20% in Group B), and worsened in 31% (28% in Group A; 36% in Group B). While nearly half of the patients were asymptomatic 3 months after surgery, 11 patients (15%) had died or remained seriously disabled. Outcome at 3 months correlated significantly with low neurological grade preoperatively and with a tumor location over the cortical convexity. There was no significant correlation with age or tumor size. We conclude that resection of intracranial meningiomas is associated with significant morbidity and mortality in the elderly.(ABSTRACT TRUNCATED AT 250 WORDS)

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Awad IA,Kalfas I,Hahn JF,Little JR

doi

10.1227/00006123-198904000-00011

subject

Has Abstract

pub_date

1989-04-01 00:00:00

pages

557-60

issue

4

eissn

0148-396X

issn

1524-4040

journal_volume

24

pub_type

杂志文章
  • Neurophysiological intraoperative monitoring of the glossopharyngeal nerve: technical case report.

    abstract:OBJECTIVE:Neurophysiological intraoperative monitoring of the glossopharyngeal nerve has been performed only with needle electrodes inserted into the pharyngeal muscles or soft palate. We describe a noninvasive method of monitoring this cranial nerve. METHODS:A 30-year-old man who presented with headache, as well as s...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000316425.21752.E2

    authors: Husain AM,Wright DR,Stolp BW,Friedman AH,Keifer JC

    更新日期:2008-10-01 00:00:00

  • Extent of surgical resection predicts seizure freedom in low-grade temporal lobe brain tumors.

    abstract:BACKGROUND:Achieving seizure control in patients with low-grade temporal lobe gliomas or glioneuronal tumors remains highly underappreciated, because seizures are the most frequent presenting symptom and significantly impact patient quality-of-life. OBJECTIVE:To assess how the extent of temporal lobe resection influen...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/NEU.0b013e31823c3a30

    authors: Englot DJ,Han SJ,Berger MS,Barbaro NM,Chang EF

    更新日期:2012-04-01 00:00:00

  • Recurrent cerebellar hemangioblastoma with enhancing tumor in the cyst wall: case report.

    abstract:OBJECTIVE:Hemangioblastomas are the most common primary intra-axial tumors of the adult posterior fossa and the tumors most often associated with von Hippel-Lindau disease. Resection of cerebellar hemangioblastomas involves tumor excision and drainage of associated cysts. The cyst wall is considered devoid of tumor cel...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000333313.33296.02

    authors: Bishop FS,Liu JK,Chin SS,Fults DW

    更新日期:2008-06-01 00:00:00

  • Gamma knife radiosurgery for cerebellopontine angle meningiomas: a multicenter study.

    abstract:BACKGROUND:Resection of cerebellopontine angle (CPA) meningiomas may result in significant neurological morbidity. Radiosurgery offers a minimally invasive alternative to surgery. OBJECTIVE:To evaluate, in a multicenter cohort study, the outcomes of patients harboring CPA meningiomas who underwent Gamma Knife radiosur...

    journal_title:Neurosurgery

    pub_type: 杂志文章,多中心研究

    doi:10.1227/NEU.0000000000000480

    authors: Ding D,Starke RM,Kano H,Nakaji P,Barnett GH,Mathieu D,Chiang V,Omay SB,Hess J,McBride HL,Honea N,Lee JY,Rahmathulla G,Evanoff WA,Alonso-Basanta M,Lunsford LD,Sheehan JP

    更新日期:2014-10-01 00:00:00

  • A risk/benefit analysis of spinal manipulation therapy for relief of lumbar or cervical pain.

    abstract::Approximately 12 million Americans undergo spinal manipulation therapy (SMT) every year. Renewed interest in this method requires an analysis of its reported risks and possible benefits. This review describes two patients with spinal cord injuries associated with SMT and establishes the risk/benefit ratios for patient...

    journal_title:Neurosurgery

    pub_type: 历史文章,杂志文章,评审

    doi:10.1227/00006123-199307000-00011

    authors: Powell FC,Hanigan WC,Olivero WC

    更新日期:1993-07-01 00:00:00

  • Perspectives on neurosurgical practice: neurosurgery in Jordan.

    abstract::Neurosurgery as a specialty medical field is new in Jordan. This article documents the history, current status, and projected future of neurosurgery in Jordan. Resident training is also highlighted, and challenges for the future of the profession are presented. ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199807000-00086

    authors: Tamimi AF

    更新日期:1998-07-01 00:00:00

  • Thiamine-deficient encephalopathy in association with aneurysmal subarachnoid hemorrhage: a case report.

    abstract::An alcoholic man who was admitted with an acute onset of neck pain and confusion was diagnosed as suffering from a subarachnoid hemorrhage after rupture of an anterior communicating artery aneurysm. Additionally, he showed a bilateral 6th nerve palsy of variable extent. The postoperative course was complicated by pulm...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199304000-00028

    authors: Valdueza JM,Puchner MJ,Herrmann HD

    更新日期:1993-04-01 00:00:00

  • Cyberknife stereotactic radiosurgical rhizotomy for trigeminal neuralgia: anatomic and morphological considerations.

    abstract:OBJECTIVE:To search for correlations between specific anatomic, geometric, and morphological properties of the trigeminal nerve and the success of radiosurgical treatment and elimination of facial hypesthesia as a complication. METHODS:Forty-six patients with at least 6 months of follow-up after CyberKnife (Accuray, I...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000340795.87734.70

    authors: Borchers JD 3rd,Yang HJ,Sakamoto GT,Howes GA,Gupta G,Chang SD,Adler JR Jr

    更新日期:2009-02-01 00:00:00

  • Intraventricular hemorrhage secondary to intranidal aneurysm rupture-successful management by arteriovenous malformation embolization followed by intraventricular tissue plasminogen activator: case report.

    abstract:BACKGROUND AND IMPORTANCE:Intraventricular hemorrhage related to arteriovenous malformation (AVM) rupture is associated with significant morbidity and mortality. Intraventricular tissue plasminogen activator (tPA) has been used to treat spontaneous intraventricular hemorrhage. We demonstrate the successful application ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e31820208a6

    authors: Pollock GA,Shaibani A,Awad I,Batjer HH,Bendok BR

    更新日期:2011-02-01 00:00:00

  • Treatment of cerebrospinal fluid and syringosubarachnoid shunt infection with systemic and intrathecal antibiotics.

    abstract::We present a case of a patient with two preexisting Silastic syringosubarachnoid shunt catheters who developed Enterobacter meningitis. The infection was treated successfully with systemic and intrathecal antibiotics without removal of the catheters. With careful sequential clinical and laboratory monitoring, even thi...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198508000-00015

    authors: Tomaszek DE,Powers SK

    更新日期:1985-08-01 00:00:00

  • Acute aggravation of subdural effusion associated with pachymeningitis carcinomatosa: case report.

    abstract::The authors present a case of acute aggravation of subdural effusion associated with pachymeningitis carcinomatosa. Microscopic examination of a surgical specimen revealed diffuse involvement of the dura mater by a metastatic adenocarcinoma in which the tumor cells invaded venules located in the areolar layer in parti...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199109000-00025

    authors: Kamada K,Isu T,Houkin K,Ohsato T,Katoh M,Kojima H

    更新日期:1991-09-01 00:00:00

  • Gliomatosis cerebri angiographically mimicking central nervous system angiitis: case report.

    abstract:OBJECTIVE:The diagnosis of isolated central nervous system angiitis often requires both cerebral angiography and biopsy for diagnosis. CLINICAL PRESENTATION:We present a case of gliomatosis cerebri with demonstrated angiographic changes suggestive of a central nervous system vasculitis. INTERVENTION:A 47-year-old wom...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000216258.35308.AA

    authors: Maramattom BV,Giannini C,Manno EM,Wijdicks EF,Campeau NG

    更新日期:2006-06-01 00:00:00

  • Usefulness of cordotomy in patients with cancer who experience bilateral pain: implications of increased pain and new pain.

    abstract:BACKGROUND:Although mirror pain occurs after cordotomy in patients experiencing unilateral pain via a referred pain mechanism, no studies have examined whether this pain mechanism operates in patients who have bilateral pain. OBJECTIVE:To assess the usefulness of cordotomy for bilateral pain from the viewpoint of incr...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0000000000000593

    authors: Higaki N,Yorozuya T,Nagaro T,Tsubota S,Fujii T,Fukunaga T,Moriyama M,Yoshikawa T

    更新日期:2015-03-01 00:00:00

  • Local electronic storage of radiological studies for radiosurgery.

    abstract:OBJECTIVE:Although radiosurgical practice mandates meticulous radiological follow-up, even the most efficient radiology department can be overwhelmed by the large number of radiosurgical patients who have undergone diagnostic studies for many years at many different institutions to follow many separate lesions. Althoug...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/01.neu.0000065175.87967.8d

    authors: Giller CA,Clamp SJ

    更新日期:2003-06-01 00:00:00

  • Perioperative fever and outcome in surgical patients with aneurysmal subarachnoid hemorrhage.

    abstract:OBJECTIVE:We examined the incidence of perioperative fever and its relationship to outcome among patients enrolled in the Intraoperative Hypothermia for Aneurysm Surgery Trial. METHODS:One thousand patients with initial World Federation of Neurological Surgeons grades of I to III undergoing clipping of intracranial an...

    journal_title:Neurosurgery

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1227/01.NEU.0000341903.11527.2F

    authors: Todd MM,Hindman BJ,Clarke WR,Torner JC,Weeks JB,Bayman EO,Shi Q,Spofford CM,IHAST Investigators.

    更新日期:2009-05-01 00:00:00

  • Surgical approaches to the cavernous sinus: a microsurgical study.

    abstract::The surgical approaches to the cavernous sinus were examined in 50 adult cadaveric cavernous sinuses using magnification of X3 to X40. The following approaches were examined: 1) the superior intradural approach directed through a frontotemporal craniotomy and the roof of the cavernous sinus; 2) the superior intradural...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199006000-00001

    authors: Inoue T,Rhoton AL Jr,Theele D,Barry ME

    更新日期:1990-06-01 00:00:00

  • International education: 20 years after implementation of a training program.

    abstract::Medical care in developing countries may be improved by various means. Advances in the medical education and training of specialists play an important role in improving health care systems. The results of the efforts of a neurosurgeon from North America who helped establish neurosurgical training in Taiwan are reporte...

    journal_title:Neurosurgery

    pub_type: 传,历史文章,杂志文章

    doi:10.1097/00006123-200106000-00035

    authors: Lee ST

    更新日期:2001-06-01 00:00:00

  • Isolation and long-term survival of adult human sensory neurons in vitro.

    abstract:OBJECTIVE:To determine whether adult human dorsal root ganglion neurons can be isolated and maintained in long-term tissue culture, where they would extend processes. METHODS:Dorsal root ganglia were removed from adult human organ donors within 2 hours of clamping the aorta. They were then treated with enzymes for one...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199803000-00054

    authors: Sosa IJ,Reyes O,Inserni J,Kuffler DP

    更新日期:1998-03-01 00:00:00

  • Tuberculum sellae meningioma: a report on management on the basis of a surgical experience with 70 patients.

    abstract:OBJECTIVE:The surgical strategies and outcomes for 70 patients operated on for tuberculum sellae meningioma were analyzed retrospectively. The analysis was based on factors that probably determined the difficulties encountered during surgery, assisted in predicting the extent of resectability, and helped in predicting ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:

    authors: Goel A,Muzumdar D,Desai KI

    更新日期:2002-12-01 00:00:00

  • Mapping of lactate and N-acetyl-L-aspartate predicts infarction during acute focal ischemia: in vivo 1H magnetic resonance spectroscopy in rats.

    abstract::The time course, anatomic distribution, and extent of changes in cerebral lactate, N-acetyl-L-aspartate (NAA), and other metabolite levels determined by three-dimensional in vivo 1H magnetic resonance spectroscopy and single-voxel spectral analysis after middle cerebral artery occlusion in rats. Increased lactate was ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199601000-00030

    authors: Higuchi T,Fernandez EJ,Maudsley AA,Shimizu H,Weiner MW,Weinstein PR

    更新日期:1996-01-01 00:00:00

  • Quality of Life After Motor Cortex Stimulation: Clinical Results and Systematic Review of the Literature.

    abstract:BACKGROUND:Motor cortex stimulation (MCS) is routinely used for the treatment of chronic neuropathic pain but its effect on quality of life remains uncertain. OBEJCTIVE:To systematically review the published literature on MCS and quality of life and report the effects of this therapy in a series of patients prospectiv...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyy060

    authors: Parravano DC,Ciampi DA,Fonoff ET,Monaco B,Navarro J,Yeng LT,Teixeira MJ,Hamani C

    更新日期:2019-02-01 00:00:00

  • Virtual reality cerebral aneurysm clipping simulation with real-time haptic feedback.

    abstract:BACKGROUND:With the decrease in the number of cerebral aneurysms treated surgically and the increase of complexity of those treated surgically, there is a need for simulation-based tools to teach future neurosurgeons the operative techniques of aneurysm clipping. OBJECTIVE:To develop and evaluate the usefulness of a n...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0000000000000583

    authors: Alaraj A,Luciano CJ,Bailey DP,Elsenousi A,Roitberg BZ,Bernardo A,Banerjee PP,Charbel FT

    更新日期:2015-03-01 00:00:00

  • Visualization of the ostium of an arteriotomy in bypass surgery.

    abstract::Visualization of the ostium of an arteriotomy by staining it blue with methylrosaniline chloride (pyoctaninum blue) in anastomotic bypass surgery for children with moyamoya disease is described. This technique enables surgeons to create an anastomosis more precisely and quickly. No adverse effects were observed. ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199312000-00023

    authors: Kamiyama H,Takahashi A,Houkin K,Mabuchi S,Abe H

    更新日期:1993-12-01 00:00:00

  • New jet irrigation bipolar system.

    abstract::Irrigation bipolar systems are particularly useful for the washout of hematomas in subarachnoid hemorrhage during the acute stage of surgery and for preventing adherence of tissue to the bipolar tips during coagulation. These systems have become essential tools, and numerous improvements have been made to them. First,...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199606000-00044

    authors: Sano H,Kato Y,Zhou J,Watanabe S,Okuma I,Hayakawa M,Kanno T

    更新日期:1996-06-01 00:00:00

  • Endoscopic decompression of the ulnar nerve at the elbow.

    abstract:OBJECTIVE:Recently, several studies suggested that simple decompression is as effective as anterior transposition in ulnar nerve entrapment syndrome. Simple decompression might be performed with minimally invasive techniques. The authors present their technique and results with endoscopic decompression in ulnar nerve e...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000367551.41503.58

    authors: Oertel J,Keiner D,Gaab MR

    更新日期:2010-04-01 00:00:00

  • Pathological status of the mesial temporal lobe predicts memory outcome from left anterior temporal lobectomy.

    abstract::This investigation tested the hypothesis that the degree of impairment to memory function caused by an anterior temporal lobectomy (ATL) is inversely related to the pathological status of the resected hippocampus. Specifically, the greatest risk to postoperative memory function should be to patients with no or minimal...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199210000-00006

    authors: Hermann BP,Wyler AR,Somes G,Berry AD 3rd,Dohan FC Jr

    更新日期:1992-10-01 00:00:00

  • Intracranial hemorrhage and spinal cord injury from a fractured C1-C2 sublaminar cable: case report.

    abstract:OBJECTIVE:This is a unique case report of a fractured atlantoaxial interspinous multistranded cable leading to intracranial hemorrhage and spinal cord injury. CLINICAL PRESENTATION:A 61-year-old woman, with a history of rheumatoid arthritis and C1-C2 interspinous wiring with allograft for atlantoaxial instability, pre...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000369198.70959.E1

    authors: Kakarla UK,Valdivia JV,Sonntag VK,Bambakidis NC

    更新日期:2010-06-01 00:00:00

  • Subsidence of stand-alone cervical carbon fiber cages.

    abstract:OBJECTIVE:To investigate the number of subsidences of inserted cervical carbon fiber cages and to define predictive factors for subsidence. METHODS:All patients treated for a cervical herniated disc and fusion with a cervical carbon fiber cage between January 2002 and December 2003 were retrospectively identified. The...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000197258.30821.50

    authors: Bartels RH,Donk RD,Feuth T

    更新日期:2006-03-01 00:00:00

  • Tirofiban Protocol Protects Against Delayed Cerebral Ischemia: A Case-Series Study.

    abstract:BACKGROUND:There has not been any effective prophylaxis for delayed cerebral ischemia delayed cerebral ischemia (DCI) since the introduction of nimodipine. Platelet inhibition may reduce the risk by preventing the formation of microthrombi. Tirofiban has been used as a single monotherapy bridge given its safety profile...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyaa170

    authors: Zanaty M,Osorno-Cruz C,Byer S,Roa JA,Limaye K,Ishii D,Nakagawa D,Torner J,Yongjun L,Ortega-Gutiérrez S,Samaniego EA,Allan L,Hasan D

    更新日期:2020-10-15 00:00:00

  • Temporal lobectomy in acute complicated herpes simplex encephalitis: technical case report.

    abstract:OBJECTIVE:Herpes virus encephalitis is a rare, life-threatening complication of therapy in patients with brain tumors. A surgical therapeutic approach may be needed because the infection can be resistant to acyclovir in immunocompromised patients, and complications and long-term sequelae are frequent. CLINICAL PRESENT...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000325885.00033.c3

    authors: Sánchez-Carpintero R,Aguilera S,Idoate M,Bejarano B

    更新日期:2008-05-01 00:00:00