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Symptom Analysis and Surgical outcome of Supratentorial Meningioma: A Prospective Study

Thiruvalluvan Arumugam, Professor, Institute of Neuro Surgery, Madras Medical College, Chennai, Tamil Nadu 600003, India. , Arul Muthukumaraswamy1 , Thiruvalluvan Arumugam2

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International Journal of Neurology and Neurosurgery 10(3):p 151-160, Jul-Sep 2018. | DOI: DOI: http://dx.doi.org/10.21088/i6nns.0975.0223.10318.3

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Abstract

Aim: To analyse various presentations and surgical outcome of supratentorial meningiomas. Materials and Methods: n order to analyse the various presentations and surgical outcome of supratentorial meningiomas we did a prospective study in 42 patients and analysed headache, seizure, limb weakness, cognitive deficit and visual symptoms. we also correlated the location of meningiomas with age, sex, surgical outcome with respect to Simpson’s grading, Discharge & death and stay in hospital. The results obtained were statistically analysed. Results: When the results  were observed, among all the meningiomas convexity meningioma were the most common types with female predominance presented in the 5th decade of life. HPE grading GRADE 1 was the most commonly observed. Overall patients were discharged in 2 to 4 weeks but convexity meningiomas were discharged in less than 2 weeks. Most of them had complete resection with Simpson’s grade I & II. Headache and seizure were commonly observed in convexity meningiomas. Cognitive deficit was observed frequently in convexity and falx meningiomas. Limb weakness observed most commonly among falx meningiomas. Paraseller, tuberculumsella,predominantly had visual disturbances. Conclusion: In this study of 42 patients we found good surgical outcome in terms of shorter hospital stay, Simpson’s grade I & II resection and low mortality rates was observed with convexity and Falx meningioma. Longterm follow­up needed in assessing seizure control and other symptoms.
Keywords: Meningioma; Supratentorial Meningioma; Supratentorial Tumors.

 

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DOI: DOI: http://dx.doi.org/10.21088/i6nns.0975.0223.10318.3

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