Abstract / Description of output
The incidence of intracranial meningioma increases with age and about 3% of people over the age of 60 years have a meningioma. The mainstay of treatment is surgical resection, though there are alternative options such as radiosurgery and conservative watch-and-wait strategy. The decision to operate demands careful consideration of the risks and benefits. In particular, this decision process can be challenging in the elderly given the ageing physiology and the influence of medical comorbidities. Patient selection for surgery in the elderly is individualized and this process is complex. This chapter offers an overview of clinical factors contributing to optimal surgical outcome. Tumor characteristics and pre-operative health status considerations are described. Outcomes including mortality, complications and recurrence are summarized, with discussion about risk stratifying grading score to predict outcomes. These evidence can inform clinicians of the important points when considering surgical management in the elderly with intracranial meningiomas to achieve the best outcomes.
| Original language | English |
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| Title of host publication | Meningiomas: Risk Factors, Treatment Options and Outcomes |
| Publisher | Nova Science Publishers |
| Publication status | Published - 2016 |