gms | German Medical Science

55. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e. V. (DGNC)
1. Joint Meeting mit der Ungarischen Gesellschaft für Neurochirurgie

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

25. bis 28.04.2004, Köln

Meningioma surgery in the elderly

Meningeomchirurgie bei betagten Patienten

Meeting Abstract

  • corresponding author Ralph W. König - Neurochirurgische Klinik der Universität Ulm, Günzburg
  • F. Hübner - Neurochirurgische Klinik der Universität Ulm, Günzburg
  • W. Börm - Neurochirurgische Klinik der Universität Ulm, Günzburg
  • K. Seitz - Neurochirurgische Klinik der Universität Ulm, Günzburg
  • H. P. Richter - Neurochirurgische Klinik der Universität Ulm, Günzburg
  • G. Antoniadis - Neurochirurgische Klinik der Universität Ulm, Günzburg

Deutsche Gesellschaft für Neurochirurgie. Ungarische Gesellschaft für Neurochirurgie. 55. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e.V. (DGNC), 1. Joint Meeting mit der Ungarischen Gesellschaft für Neurochirurgie. Köln, 25.-28.04.2004. Düsseldorf, Köln: German Medical Science; 2004. DocP 12.126

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/dgnc2004/04dgnc0410.shtml

Veröffentlicht: 23. April 2004

© 2004 König et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

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Objective

To retrospectively analyze outcome and risk of surgery in geriatric patients with intracranial meningiomas.

Methods

We analysed 37 consecutive patients older than 65 years suffering from an intracranial meningioma, who were operated upon between 2000 and 2002. Average age was 72 years ( 65 to 85 years). All patients were treated by microsurgical tumor removal (Simpson grade I and II). Location (parasagittal and falx 11, convexity 9, skull base 17) and histopathology (transitional WHO I° 12, meningothelial WHO I° 9, fibrous WHO I° 6, secreting WHO I° 4, atypical WHO II° 6) of tumors varied greatly. About one half (18/37) of patients had 2 or more associated medically treated diseases. Most frequent were hypertension, diabetes, coronary heart disease and obstructive pulmonary disease.

Results

After surgery 19 patients (51%) recovered completely and returned to normal daily life activities. 9 (24%) were independent with little support. 6 (16%) needed constant care. 3 (8%) patients died subsequently related to surgery. All three had suffered from obstructive pulmonary disease at the time of surgery. Two patients developed hemorrhagic infarctions. Other complications, namely CSF-fistulas (5), wound infection (1) and pneumonia (1) were transitory and resolved completely. Complications occurred in 32,4% (3 deaths, 1 wound infection, 5 CSF-fistulas, 2 hemorrhagic infarctions, 1 pneumonia). Outcome seemed to correlate with accompanying diseases, especially obstructive pulmonary disease.

Conclusions

Satisfactory outcome of meningioma surgery in geriatric patients can be achieved in up to 75%. The Complication rate is high. Because of the higher risk of surgery in this age group, thorough patient selection is crucial. Especially pre-existing obstructive pulmonary disease seems to complicate the postoperative course.