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Patient-evaluated outcome after surgery for basal meningiomas
Ryojo Akagami1, Mario Napolitano, Laligam N Sekhar
1Mid-Atlantic Brain and Spine Institutes, Annandale, Virginia, USA.
Neurosurgery
|April 13, 2002
Summary
Aggressive surgical management of basal meningiomas leads to high patient satisfaction and positive outcomes. This study highlights successful treatment results for these complex brain tumors.
Area of Science:
- Neurosurgery
- Oncology
Background:
- Basal meningiomas are complex tumors requiring specialized surgical approaches.
- Aggressive surgical management aims to achieve maximal tumor resection while prioritizing patient outcomes.
Purpose of the Study:
- To evaluate patient satisfaction and self-reported outcomes after aggressive surgical management of basal meningiomas.
- To establish an index of patient satisfaction and outcomes following treatment by a single experienced surgeon.
Main Methods:
- Prospective data collection from 269 patients with basal meningiomas treated between 1993 and 2000.
- Follow-up included visits, questionnaires, and interviews to assess outcomes, with a mean follow-up of 49 months.
- Levine-Sekhar (LS) grading was used, with gross total resection achieved in 66% of patients; 1.1% perioperative mortality.
Main Results:
- High patient satisfaction (97%) and treatment expectation fulfillment (90%) were reported.
- 95% of patients considered surgery a good choice and would recommend it.
- Mean Karnofsky Performance Scale score was 83, with 83% of patients being employable.
Conclusions:
- Aggressive surgical management of basal meningiomas can lead to high levels of patient satisfaction.
- Satisfactory patient-evaluated outcomes are achievable for complex basal meningioma cases.