Neurosurgery in the elderly: brain tumors and subdural hematomas.

Abstract:

:Primary malignant brain tumors present a formidable challenge to surgeons, patients, and families. Although the prognosis in elderly patients approaches only 6 months, aggressive resection and adjuvant treatment may be indicated in a select group of patients who have preserved functional status. Subdural hematomas in the geriatric population usually are chronic. Patients often benefit from evacuation but their advanced age and significant comorbidities often increase perioperative morbidity and mortality. Minimally invasive evacuation, possibly under local anesthesia, often is indicated as an initial treatment.

journal_name

Clin Geriatr Med

authors

Roger EP,Butler J,Benzel EC

doi

10.1016/j.cger.2006.04.002

subject

Has Abstract

pub_date

2006-08-01 00:00:00

pages

623-44

issue

3

eissn

0749-0690

issn

1879-8853

pii

S0749-0690(06)00017-6

journal_volume

22

pub_type

杂志文章,评审
  • Male sexuality.

    abstract::It should be recognized that sexuality in the aging male is of such import that a complete sexual history must be performed. By taking a complete sexual history, facts can be obtained that will allow for appropriate focus relating to a holistic evaluation and will enable us to dispel antiquated sexual myths pertaining...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章

    doi:10.1016/j.cger.2010.02.007

    authors: Ginsberg TB

    更新日期:2010-05-01 00:00:00

  • Polypharmacy Reduction Strategies: Tips on Incorporating American Geriatrics Society Beers and Screening Tool of Older People's Prescriptions Criteria.

    abstract::There is no single definition of polypharmacy. Use of 5 or more medications commonly is used. An alternative, quantitative definition, such as use of more medications than clinically indicated or use of unnecessary or harmful prescribing, has been proposed. Protocols or algorithms to improve polypharmacy and prescribi...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.cger.2017.01.007

    authors: Levy HB

    更新日期:2017-05-01 00:00:00

  • Physical activity, arthritis, and disability in older people.

    abstract::Physical activity protects against the development of chronic disease and disability. There appears to be little risk of damage to joints from regular, moderate-level exercise. Patients with arthritis can safely participate in exercise programs and often have relief of pain and disability. The most difficult problem f...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Ettinger WH Jr

    更新日期:1998-08-01 00:00:00

  • Evaluation and management of the elderly patient at risk for postoperative delirium.

    abstract::Geriatric patients are at a high risk for the development of postoperative delirium. By recognizing predisposing and precipitating risk factors, preventive measures can be undertaken to reduce this risk. Accurate and timely diagnosis is essential, and we offer therapeutic strategies to help reduce the high morbidity a...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.cger.2008.06.002

    authors: Bagri AS,Rico A,Ruiz JG

    更新日期:2008-11-01 00:00:00

  • Palliative Care and Symptom Management in Older Patients with Cancer.

    abstract::Older patients with cancer are best served by a multidisciplinary approach with palliative care (PC) playing an integral role. PC focuses on symptom control irrespective of its cause and should not be associated only with terminal care. It provides an additional layer of support in the care of patients with cancer wit...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.cger.2015.08.004

    authors: Alexander K,Goldberg J,Korc-Grodzicki B

    更新日期:2016-02-01 00:00:00

  • Lewy Body Dementia.

    abstract::Dementia with Lewy bodies (DLB) is the second most common neurodegenerative dementia following Alzheimer disease. It stems from the formation of Lewy bodies, which contain aggregates of the misfolded protein, α-synuclein. These deposit in areas of the nervous system and brain, leading to neuronal cell death and causin...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.cger.2018.06.007

    authors: Sanford AM

    更新日期:2018-11-01 00:00:00

  • Speech, language, and swallowing disorders in the older adult.

    abstract::The geriatric population has become a major component in the practice of medical speech-language pathology. This article discusses normal and abnormal functions of speech, voicing, language, cognition, and swallowing. Particular attention is given to disorders affecting the geriatric population. Evaluation, treatment,...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.cger.2005.12.008

    authors: Ashley J,Duggan M,Sutcliffe N

    更新日期:2006-05-01 00:00:00

  • Urinary tract infections in the elderly.

    abstract::Urinary infection is the most common infection in elderly populations. There is a high prevalence of asymptomatic bacteriuria, but this is benign and does not require treatment. A urine specimen for culture should be obtained before initiating antimicrobial therapy for symptomatic infection. Antimicrobial treatment re...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.cger.2009.04.005

    authors: Nicolle LE

    更新日期:2009-08-01 00:00:00

  • Cutaneous fungal infections in the elderly.

    abstract::This article summarizes the common, superficial, cutaneous, fungal infections that are found in older adults. The epidemiology, classic appearance, and current treatments of these fungal infections are discussed. These common skin pathogens occur in many older adults. ...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章

    doi:10.1016/j.cger.2013.01.001

    authors: Varade RS,Burkemper NM

    更新日期:2013-05-01 00:00:00

  • Transitions of care for the geriatric patient in the emergency department.

    abstract::This article reviews and summarizes more than 200 studies regarding key issues surrounding the transition of elderly patients to or from the emergency department (ED), with particular attention paid to the relationship between the ED and nursing homes. Transfers of care often occur with incomplete information, which r...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.cger.2012.10.005

    authors: Kessler C,Williams MC,Moustoukas JN,Pappas C

    更新日期:2013-02-01 00:00:00

  • Skeletal disorders in malignant disease.

    abstract::When the elderly are afflicted by malignancy, chances are good that at some point in the course of their illness the skeleton will be involved. Bone metastases, hypercalcemia, and other paraneoplastic syndromes are commonly encountered and require definitive diagnosis and management. In general, the therapy for the el...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Kochersberger GG,Lyles KW

    更新日期:1987-08-01 00:00:00

  • Diagnosis and management of intracerebral hemorrhage in elderly patients.

    abstract::An analysis of the risk factors and clinical presentation of intracerebral hemorrhage in the elderly is provided. Specific pathogenic mechanisms that apply to the elderly, such as cerebral amyloid angiopathy, are discussed in detail. General management of intracerebral hemorrhage is discussed, along with specific issu...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Kase CS

    更新日期:1991-08-01 00:00:00

  • Stroke rehabilitation.

    abstract::It is clear from this article that additional studies examining what factors can be used to predict the outcome of stroke and what process achieves the best outcome most effectively need to be developed. The available data support the usefulness of a coordinated rehabilitation program in the treatment of the functiona...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Lorish TR

    更新日期:1993-11-01 00:00:00

  • Management of Early Parkinson Disease.

    abstract::Early Parkinson disease is the approximate time period between initial diagnosis and the onset of motor fluctuations. Treatment requires an integrative approach, including identification of motor and nonmotor symptoms, choice of pharmacologic treatment, and emphasis on exercise. Patients should be treated for motor sy...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.cger.2019.09.001

    authors: Zesiewicz TA,Bezchlibnyk Y,Dohse N,Ghanekar SD

    更新日期:2020-02-01 00:00:00

  • The doctor-patient relationship in the home.

    abstract::The rapid growth of the geriatric sector of the population has, in part, led to the explosion of the home care industry and the rebirth of the house call. Understanding the population being served is always the first step in providing excellent care. Older people who are frail and homebound have physical, social, and ...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/s0749-0690(05)70010-0

    authors: LoFaso V

    更新日期:2000-02-01 00:00:00

  • Stroke rehabilitation in nursing homes: how do we measure quality?

    abstract::Over one-third of Medicare stroke patients are admitted to nursing homes for rehabilitation. Patients with stroke who are admitted to nursing homes are extremely heterogeneous, including both those with minimal physical and cognitive impairment and those who are totally physically dependent. Quality measures that are ...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Kramer AM,Coleman EA

    更新日期:1999-11-01 00:00:00

  • Interstitial lung diseases in the elderly patient.

    abstract::In this article we have attempted to review basic aspects of the respiratory immune system and some of what is known about the effects of aging on immunity. We have discussed the more common forms of interstitial lung disease as they relate to the elderly patient and have outlined a general method of approaching inter...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Young KR Jr,Merrill WW

    更新日期:1986-05-01 00:00:00

  • Surgical management of complicated diverticulitis.

    abstract::The majority of patients with acute diverticulitis can be managed medically. Some will have a complication of diverticulitis such as free perforation with peritonitis, abscess formation, obstruction, or fistula formation. Perhaps even a larger number will develop recurrent diverticulitis, which is associated with an i...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章

    doi:

    authors: Symmonds RE Jr

    更新日期:1985-05-01 00:00:00

  • Approach to the diagnosis and management of musculoskeletal disease.

    abstract::Musculoskeletal disease is not an inevitable consequence of aging. Complaints of musculoskeletal disease indicate disease. Differential diagnosis relies on clinical skills. Management is directed toward maintaining function. ...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Ettinger WH Jr

    更新日期:1988-05-01 00:00:00

  • Nursing home care.

    abstract::The intent of this review is to highlight several difficult questions from a personal perspective while caring for debilitated elderly patients in a nursing home. These problems appear to be encountered less frequently in the acute-care setting. Where possible, supporting literature is cited and legal precedent is ind...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Wood JS

    更新日期:1986-08-01 00:00:00

  • End-of-life care: an agenda for policy improvement.

    abstract::Current arrangements for health care in the United States do not adequately address the needs of a growing population that has serious, eventually fatal chronic illness. New programs and policies are necessary to encourage coordination of care; better match services to the needs of patients; better provide education a...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章

    doi:10.1016/j.cger.2004.08.008

    authors: Shugarman LR,Lorenz K,Lynn J

    更新日期:2005-02-01 00:00:00

  • Driving Dilemmas: A Guide to Driving Assessment in Primary Care.

    abstract::Clinical assessment of fitness to drive can be a challenging part of primary care of older adults. There are no guidelines on screening for driver safety, so it falls to provider judgment on when to assess older drivers. This review offers recommendations on when to assess for driver safety based on red flag condition...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.cger.2017.09.006

    authors: Morgan E

    更新日期:2018-02-01 00:00:00

  • Clinical overview of instability in the elderly.

    abstract::Falling is often a multifactorial syndrome that can be viewed from several perspectives, including pathophysiologic, biomedical, functional, and ecologic models. The history, physical examination, and performance testing are the cornerstones of evaluation. Diagnostic testing in selected cases and environmental evaluat...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Studenski S,Rigler SK

    更新日期:1996-11-01 00:00:00

  • Evaluation of the elderly patient with acute chest pain.

    abstract::Chest pain is one of the most common and serious chief complaints. Geriatricians must be well versed in evaluating elderly patients who have chest pain. This article discusses the initial diagnostic evaluation of elderly patients with chest pain. Specific emphasis is placed on identifying acute coronary syndromes, aor...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.cger.2007.01.005

    authors: Kelly BS

    更新日期:2007-05-01 00:00:00

  • Postprandial hypotension.

    abstract::Postprandial hypotension is a prevalent condition in the elderly population and seems to be more common in frail elderly individuals who may be more susceptible to complications such as syncope and falls. Diagnosis is relatively easy and may be reversible in many cases. The epidemiology and pathophysiology of postpran...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/s0749-0690(02)00012-5

    authors: O'Mara G,Lyons D

    更新日期:2002-05-01 00:00:00

  • Transitional care of the long-term care patient.

    abstract::This article reviews the literature on transitional care to and from the LTC environment, highlighting strategies to improve the quality of care transitions. Several factors are vital in the improvement of systems of care dealing with transitions. Key factors include communication with and among health care providers,...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章

    doi:10.1016/j.cger.2011.02.004

    authors: Oakes SL,Gillespie SM,Ye Y,Finley M,Russell M,Patel NK,Espino D

    更新日期:2011-05-01 00:00:00

  • Radioisotopes and their use in the diagnosis and management of thyroid disease.

    abstract::The use of radioactive isotopes in thyroid evaluation and therapy gives important information in the endocrine assessment of the aged. Thyroid uptake imaging can be used to establish a hypothyroid or hyperthyroid state and can determine the functional status of a palpable nodule. Investigational agents, such as T1 201...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Freeman SJ,Girolamo RF

    更新日期:1995-05-01 00:00:00

  • Prostate Cancer in Elderly Men: Screening, Active Surveillance, and Definitive Therapy.

    abstract::Prostate cancer (PCa) is a common medical condition in the United States, with an estimated 16% of men receiving a diagnosis during their lifetime. Although it is the second leading cause of cancer-specific deaths among men, PCa will not be the cause of death for most men who are diagnosed with it. Although there are ...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.cger.2015.07.004

    authors: Roussel B,Ouellet GM,Mohile SG,Dale W

    更新日期:2015-11-01 00:00:00

  • Screening for non-insulin-dependent diabetes mellitus in the elderly.

    abstract::There are three major obstacles to a recommendation for screening the elderly for NIDDM. The first is the conflicting evidence as to whether early detection and treatment reduce complications. The second is that treatment of hyperglycemia with attainment of euglycemia is difficult to achieve in the elderly. Nondrug th...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Trilling JS

    更新日期:1990-11-01 00:00:00

  • Osteoporosis, calcium requirement, and factors causing calcium loss.

    abstract::A large percentage of subjects receiving a normal calcium intake of 800 mg per day was in negative calcium balance and increasing the calcium intake to various levels up to 2200 mg per day showed a plateau of the calcium balance at the 1200 mg per day intake, indicating a threshold of calcium absorption at this intake...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章

    doi:

    authors: Spencer H,Kramer L

    更新日期:1987-05-01 00:00:00