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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Revisamos los resultados operatorios sobre una serie de pacientes ancianos intervenidos quir&#250;rgicamente para la ex&#233;resis de un meningioma intracraneal&#44; analizando diferentes factores pron&#243;sticos&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudiamos retrospectivamente una serie de 94 pacientes mayores de 65 a&#241;os &#40;edad media 72&#46;2&#41; intervenidos de un meningioma intracraneal en un per&#237;odo de 17 a&#241;os&#46; Analizamos diversos factores como la edad&#44; situaci&#243;n cl&#237;nica&#44; localizaci&#243;n&#44; tama&#241;o y tipo histol&#243;gico del tumor&#44; discuti&#233;ndose su influencia en el resultado&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Las complicaciones postoperatorias tanto neurol&#243;gicas como m&#233;dicas&#44; se presentaron en el 31&#46;8&#37; de los casos y la mortalidad dentro del primer mes fue del 6&#46;3&#37;&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Concluimos que la edad no es el por s&#237; sola un impedimento para la cirug&#237;a de los meningiomas intracraneales&#44; y que &#233;sta debe re&#225;lizarse siempre que lo permita el estado cl&#237;nico del paciente&#44; ya que se acompa&#241;a de unas cifras aceptables de morbilidad y mortalidad&#46;</p>"
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        "resumen" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">We hare analyzed our experience with 94 consecutive patients older than 65 years of age &#40;mean age 72&#46;2&#41; operated for intracranial meningiomas at our Neurosurgical Service over a period of 17 years&#46; Multiple factors including age&#44; clinical symptoms&#44; location and size of tumor and histological features were evaluated retrospectively and their possible role on the final prognosin war analyzed&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Postoperative complications either &#40;neurological or medical&#41; ocurred in 31&#46;8&#37; of the cases&#46; Surgical mortality was 6&#46;3&#37;&#46;</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">We conclude that removal of intracranial meningiomas in the elderIy is associated with a moderate morbidity and mortality rate&#46; However&#44; age alone is not a factor preventing proper surgical treatment of meningioma in the elderly&#46;</p>"
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        "nota" => "<p class="elsevierStyleNotepara">Gelabert Gonz&#225;lez&#44; M&#46;&#59; Prieto Gonz&#225;lez&#44; A&#46;&#59; Gonz&#225;lez Garc&#237;a&#44; J&#46;&#59; Garc&#237;a Pravos&#44; A&#46;&#59; Garc&#237;a Allut&#44; A&#46;&#59; Band&#237;n Di&#233;guez&#44; F&#46;&#59; Mart&#237;nez Rumbo&#44; R&#46;&#58; Meningiomas intracraneales en el anciano&#46; Neurocirug&#237;a 1998&#59; 9&#58; 225&#8211;231&#46;</p>"
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Vol. 9. Núm. 3.
Páginas 226-231 (enero 1998)
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Vol. 9. Núm. 3.
Páginas 226-231 (enero 1998)
Meningiomas intracraneales en el anciano
Intracranial meningiomas in the elderIy
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M. Gelabert González, A. Prieto González, J. González García, A. García Pravos, A. García Allut, F. Bandín Diéguez, R. Martínez Rumbo
Servicio de Neurocirugía. Complejo Hospitalario Universitario de Santiago. Instituto Universitario de Ciencias Neurológicas “Pedro Barrié”. Facultad de Medicina. Santiago de Compostela
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Resumen

Revisamos los resultados operatorios sobre una serie de pacientes ancianos intervenidos quirúrgicamente para la exéresis de un meningioma intracraneal, analizando diferentes factores pronósticos.

Estudiamos retrospectivamente una serie de 94 pacientes mayores de 65 años (edad media 72.2) intervenidos de un meningioma intracraneal en un período de 17 años. Analizamos diversos factores como la edad, situación clínica, localización, tamaño y tipo histológico del tumor, discutiéndose su influencia en el resultado.

Las complicaciones postoperatorias tanto neurológicas como médicas, se presentaron en el 31.8% de los casos y la mortalidad dentro del primer mes fue del 6.3%.

Concluimos que la edad no es el por sí sola un impedimento para la cirugía de los meningiomas intracraneales, y que ésta debe reálizarse siempre que lo permita el estado clínico del paciente, ya que se acompaña de unas cifras aceptables de morbilidad y mortalidad.

Palabras clave:
Ancianos
Calida de vida
Tumores intracraneales
Meningiomas
Pronóstico
Summary

We hare analyzed our experience with 94 consecutive patients older than 65 years of age (mean age 72.2) operated for intracranial meningiomas at our Neurosurgical Service over a period of 17 years. Multiple factors including age, clinical symptoms, location and size of tumor and histological features were evaluated retrospectively and their possible role on the final prognosin war analyzed.

Postoperative complications either (neurological or medical) ocurred in 31.8% of the cases. Surgical mortality was 6.3%.

We conclude that removal of intracranial meningiomas in the elderIy is associated with a moderate morbidity and mortality rate. However, age alone is not a factor preventing proper surgical treatment of meningioma in the elderly.

Key words:
Elderly patients
Quality of life
Intracranial tumors
Meningiomas
Prognosis

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