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Meningiomas in the elderly
Chikezie Eseonu1, Tito Vivas-Buitrago2, Alfredo Quiñones-Hinojosa2
1Pinnacle Health Neurosurgery, University of Pittsburgh Medical Center Pinnacle, Harrisburg, PA, United States.
Handbook of Clinical Neurology
|June 20, 2020
Summary
Meningiomas are common benign brain tumors in older adults. Treatment decisions for elderly patients focus on health, not just age, considering surgery, radiosurgery, or observation.
Area of Science:
- Neurosurgery
- Geriatric Medicine
- Oncology
Background:
- Meningiomas represent a significant portion of adult intracranial tumors.
- Increased detection in the elderly population is linked to advanced imaging and longer lifespans.
- Elderly patients present unique challenges due to decreased tumor growth rates and increased comorbidities.
Purpose of the Study:
- To investigate the incidence, evaluation, treatment, and outcomes of intracranial meningiomas in the elderly population.
- To highlight the unique considerations for managing meningiomas in patients aged 60 and older.
Main Methods:
- Review of current literature on meningioma diagnosis and treatment in the elderly.
- Analysis of factors influencing treatment decisions, including patient health and tumor characteristics.
Main Results:
- Meningiomas are the most common incidentally detected benign primary brain tumor in the elderly.
- Treatment choices (surgery, radiosurgery, observation) are influenced more by comorbidities and overall health than chronological age.
- Tumor characteristics significantly impact patient outcomes.
Conclusions:
- Intracranial meningiomas in the elderly require individualized treatment strategies.
- Comorbidities and overall health status are critical factors in determining the best management approach.
- Further research into optimizing outcomes for this demographic is warranted.
