Surgical Management of Meningiomas 6 Months Fellow Up of 85 Cases in a Sub-Saharian Countrie

Objective: To evaluate the surgical management of intracranial meningiomas and the 6 months postoperative course.

Method: Prospective study was conducted between January 2002 and May 2012. Were included patients for whom surgical resection of meningioma was made ??and whose follow-up was at least 6 months. The quality of resection was evaluated according to the criteria of Simpson. Karnofsky index was used to assess the pre-and postoperative morbidity.

Results: 85 cases of intracranial meningiomas were included. The sex ratio was 0.88/1. The average age was 54.41 years. The mean disease duration was 7.17 months. It was supra tentorial meningiomas in 70.57% of cases, infra-tentorial meningiomas for 11.76% of cases and skull base meningiomas for 17.64% of cases. Karnofski average score at admission was 48.53 with 57% of patients with a score between 10 and 40. 95.29% of patients were operated according to Simpson I, II and 4.710 / 0 according to Simpson IV. It was benign meningiomas in 97.65% of cases. At 6 months theKarnofskipostoperative average score was 83.7. The postoperative mortality was 1.17%.

Conclusion: The surgical treatment of meningiomas improves the clinical status of patients with low morbidity and mortality.

Keywords

meningiomas - niamey - niger