SURGICAL MANAGEMENT OF INTRACRANIAL MENINGIOMAS

Abstract

Objective: To study the surgical management and outcome of patients having intracranial meningiomas. Design: A retrospective study. Setting: The Department of Neurosurgery Punjab Medical College & Allied Hospital, Faisalabad. Duration From April 2004 to October 2005. Materials & Methods:
Thirty patients suffering from intracranial meningiomas diagnosed on CT-scan and managed surgically were included in this study. Simpson grade I removal was possible in 21 patients. Grade II removal was done in Three patients while grade 111 removal was possible in four patients, grade IV removal was done in one patient and grade V in one patient. Post operative XRT was given in cases having grades II, 111, IV and V removal. Follow up was done at six monthly intervals. Outcome was assessed as Good .Fair, and poor depending upon clinical and radiological examinations. RESULTS: Out of 30 patients only one had recurrence after one year of follow up which was removed surgically and postoperative XRT was given.
Twenty four patients had good outcome while 5 patients had fair outcome and one had poor outcome. CONCLUSION. Study showed that Simpson grade 1 removal of tumor is still effective treatment in the management of meningiomas. Postoperative XRT is used in Simpson grade 2, 3, 4 and 5 in which gross total removal is not possible due to involvement of neurovascular structures.