1887
Volume 2005, Issue 1
  • ISSN: 0253-8253
  • E-ISSN: 2227-0426

Abstract

As the average life expectancy is gradually increasing, more elderly patients are seen in neurosurgical clinics but those aged 80 years or more pose significant medical and ethical dilemmas for neurosurgeons. A retrospective study of eleven patients assessed the post-operative short term outcome in very old patients with benign brain tumors. Six had total surgical excision and five had partial resection. The outcome was good for six, unchanged in one and four died. Post-operative intracranial complications were not tolerated and resulted in a poor outcome in this age group. However; it is suggested that carefully selected patients over the age of 80 years with symptomatic benign brain tumors can be considered for surgical intervention.

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2005-06-01
2019-11-20
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References

  1. Nicholas C, William D, Stephen W. Ageing the facts. 2nd eds. Oxford New York Tokyo: Oxford University Press 1992.
    [Google Scholar]
  2. Bernstein M. Brain tumors in the elderly: A brief reappraisal. Can J Neurol Sci. 1996; 39:2:147150.
    [Google Scholar]
  3. Papo I. Intracranial memingiomas in the elderly in the CT scan era. Acta Neurochir (wien). 1983; 67::195204.
    [Google Scholar]
  4. Djindjian M, Caron JP, Athayde AA, Fevrier MJ. Intracranial meningioma in the elderly (over 70 years old). A retrospective study of 30 surgical cases. Acta Neurochir (wien). 1988; 90::121123.
    [Google Scholar]
  5. Jan M, Bazeze B, Saudeau D, Autret A, Bertrand A, Bertrand P, Gouaze A. Devenir des meningiomes intracraniens chez I'adulte. Etude retrospective d'une serie medico-chirurgicale de 161 meningiomes. Neurochirurgie. 1986; 32::129134.
    [Google Scholar]
  6. Awad IA, Kalfas I, Hahn JF, Little JR. Intracranial meningiomas in the aged: Surgical outcome in the era of computed tomography. Neurosurgery. 1989; 24::557560.
    [Google Scholar]
  7. McGrail K, Ojemann R. The surgical management of benign intracranial meningiomas and acoustic neuromas in patients 70 years of age and older. Surg. Neurol. 1994; 42::27.
    [Google Scholar]
  8. Stewart I, Millac P, Shephard R. Neurosurgery in the older patient. Postgraduate Medical Journal. 1975; 51::453456.
    [Google Scholar]
  9. Tomita T, Raimondi A. Brain tumors in the eldely. JAMA. 1981; 246::5355.
    [Google Scholar]
  10. Godfrey J, Caird F. Intracranial tumours in the elderly: Diagnosis and treatment. Age and Ageing. 1984; 13::152158.
    [Google Scholar]
  11. Cornu PH, Chatellier G, Dagreou F, Clemenceau S, Foncin J, Rivierez M, Philippon J. Intracranial meningioma in elderly patients, postoperative morbidity and mortality. Factors predictive of outcome. Acta Neurochir (wien). 1990; 102::98102.
    [Google Scholar]
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  • Article Type: Research Article
Keyword(s): benign brain tumor , Old age and surgery
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