ArticleNeurosurgical review2015
Clinical characteristics of patients with asymptomatic intracranial meningiomas and results of their surgical management.
Article in Neurosurgical review, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- Incidental intracranial meningiomas: a systematic review and meta-analysis of prognostic factors and outcomes.Journal of neuro-oncology · 2019Pooled it
- Postoperative Vision-Related Quality of Life After Sphenoid Wing Meningioma Surgery: Impact of Radiomic Shape Features and Age.Journal of clinical medicine · 2024Article
- A nomogram for predicting the risk of major postoperative complications for patients with meningioma.Neurosurgical review · 2023Article
- Role of risk factors, scoring systems, and prognostic models in predicting the functional outcome in meningioma surgery: multicentric study of 552 skull base meningiomas.Neurosurgical review · 2023Article
- Surgical complications and recurrence factors for asymptomatic meningiomas: a single-center retrospective study.Acta neurochirurgica · 2023Article
- Impact of peritumoral brain edema on pre- and postoperative clinical conditions and on long-term outcomes in patients with intracranial meningiomas.European journal of medical research · 2023Article
- Matched case-control analysis of outcomes following surgical resection of incidental meningioma.Journal of neuro-oncology · 2022Article
- Article
- Stereotactic radiosurgery versus active surveillance for asymptomatic, skull-based meningiomas: an international, multicenter matched cohort study.Journal of neuro-oncology · 2022Article
- Nation-wide Brain Tumor Registry-based Study of Intracranial Meningioma in Japan: Analysis of Surgery-related Risks.Neurologia medico-chirurgica · 2021Article
- Preoperative Prediction of Meningioma ConsistencyFrontiers in oncology · 2021Article
- Indications and outcome in surgically treated asymptomatic meningiomas: a single-center case-control study.Acta neurochirurgica · 2020Article
- A National Consensus Survey for Current Practice in Brain Tumor Management II: Diffuse Midline Glioma and Meningioma.Brain tumor research and treatment · 2020Article
- Magnetic Resonance Imaging-Based Screening for Asymptomatic Brain Tumors: A Review.The oncologist · 2019Review
- Neurosurgical treatment and outcome patterns of meningioma in Sweden: a nationwide registry-based study.Acta neurochirurgica · 2019Article
- Predicting outcome of epilepsy after meningioma resection.Neuro-oncology · 2016Article
- Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Surgery performed during the asymptomatic phase of meningioma remains controversial. The effects of surgery and the factors associated with postsurgical complications and patient prognosis were studied to optimize surgical decisions for clinicians who treat asymptomatic patients. The medical records of 513 patients with meningiomas (112 patients were asymptomatic) treated at our hospital from May 2007 to April 2012 were retrospectively reviewed. The results were analyzed with univariate and multivariate analyses. Asymptomatic meningiomas were characterized by a more common cerebral hemispheric location, a smaller size, and a lack of peritumoral edema. A significantly higher Simpson I resection rate of 95.2 % was achieved in tumors located in the cerebral hemisphere; in contrast, a rate of 66.7 % was obtained in tumors located at the skull base (P = 0.003). The overall postsurgical complication rate was 13.6 %, which was lower than the rate of 21.7 % in the symptomatic patients. Hemiplegia was the most common complication, which occurred most often in the patients with tumors in parietal locations (P = 0.015). Ninety-two percent of the asymptomatic patients achieved a Glasgow Outcome Scale (GOS) score of 5 1 year after the operation, and significantly more patients younger than 60 years of age obtained a GOS score of 5 compared with patients older than 60 years of age (P = 0.006). To achieve maximal tumor resection and good patient recovery, tumor location and patient age should be carefully considered prior to choosing to perform surgery in asymptomatic patients.
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