Journal of Korean Society of Geriatric Neurosurgery 2016;12(2):93-96.
Published online September 30, 2016.
Clinical Outcomes of Brain Tumor Surgery in Geriatric Patients
Yuhee Kim , Gi Taek Yee , Myung Jin Kim , Eun Young Kim , Chan Jong Yoo , Uhn Lee
Department of Neurosurgery, Gil Medical Center, Gachon University School of Medicine, Incheon, Korea
Abstract
Objective
The purpose of this study was to assess the surgical results and clinical outcomes after brain tumor surgery, especially in geriatric patients
Methods
A retrospective review was performed that included 20 patients aged 70 years and older who had undergone brain tumor surgery between 2013 and 2015. The patient characteristics, initial neurologic finding, tumor characteristics, and postoperative complications were analyzed. The clinical outcomes were assessed from the postoperative neurological finding and performance during the follow-up by Karnofsky performance Scale (KPS).
Results
Twenty patients (5 men, 15 women) who had undergone brain tumor surgery were included in the study. The mean age of patients was 74 years (range: 70-85 years). Eleven patients (55.0%) had malignant brain tumors including four cases of metastatic brain tumors (20.0%). Nine patients (45.0%) had benign brain tumors. Sixteen cases (80.0%) were located in the supratentorial region. The mean diameter of the tumors was 3.6 cm(range: 1.5-6.0 cm). Gross total resection was achieved in six cases (30%). The most common concomitant disease was hypertension (12 patients, 60.0%). Neurological status at discharge showed improvement or remained unchanged in 19 patients (95.0%). The mean preoperative KPS score was 70 (range: 40-90). The mean KPS at the time of discharge was 80 (range: 50-100).
Conclusion
Our results suggest that surgery may be a useful treatment approach in symptomatic elderly patients with brain tumors. However, owing to the limited number of patients in this review, further study will be needed to assess the surgical benefits in elderly patients with brain tumors.
Key Words: Brain neoplasm, Tumor removal, Geriatrics, Karnofsky Performance status, Surgical outcome


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