BACKGROUND: Since the introduction of CT and then MRI in the clinical practice, the number of elderly @entity1 with @entity1653 observed in neurosurgical departments has increased to three/four times. Considering that some @entity1 die because of their @entity1653 and others die with their @entity1653 , the neurosurgeon should not only be able to eradicate surgically the lesion, but also to decide if that @entity5 should be treated or not. MATERIALS AND METHODS: Forty-three @entity1 with @entity1653 , aged over 65 were operated upon between 1989 and 1995. They constitute about one fourth of all the @entity1653 - @entity1 operated upon in that period at our Department. Main symptoms were @entity51 , @entity751 , and @entity410 . Mean duration of symptoms was 15 months, with 30% of the histories lasting less than 3 months. Associate pathologies were those typical of the elderly population with @entity101 and @entity13675 at the first places. Two @entity1 had @entity263 , and 8 were @entity28 . MRI was useful either in depicting the location of the @entity5 or in helping the surgeon to give a correct operative indication and risk evaluation. MRI criteria for risk evaluation were severe @entity4 and @entity455 . Forty-five operations were performed. Their duration was not a risk factor by itself, it only reflected the difficulty of the removal, due to the location of the @entity5 . Dissection of @entity5 remnants from main arteries or veins was never attempted in this group of @entity1 ; total removal was achieved in 75.5% of the cases. RESULTS: Immediate postoperative results were good in 71% of cases. Four @entity1 died (9%). Long term results were evaluated in 29 @entity1 (mean follow-up period: 35 months). Twenty-two @entity1 (76%) had excellent or good results, 5 (17%) fair, and 2 (7%) had severe @entity51 and needed continuous assistance. CONCLUSIONS: Surgical risk factors typical of this age group were identified: cranio-spinal location, @entity66 , severe @entity4 , and poor neurological preoperative conditions. Systemic risk factors were @entity1723 and @entity28 .

[ XXXX in the elderly].

@entity1 :: ('9606', 'Species') :: ['patients'] @entity410 :: ('MESH:D012640', 'Disease') :: ['seizures'] @entity455 :: ('MESH:D014652', 'Disease') :: ['venous vascular infiltration'] @entity263 :: ('MESH:D011471', 'Disease') :: ['insulin-dependent diabetes, 2 prostatic carcinoma'] @entity101 :: ('MESH:D006973', 'Disease') :: ['hypertension'] @entity28 :: ('MESH:D009765', 'Disease') :: ['obese', 'obesity'] @entity13675 :: ('MESH:C536187', 'Disease') :: ['senile cardiopathy'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor', 'benign tumor'] @entity4 :: ('MESH:D004487', 'Disease') :: ['peritumoral edema', 'edema'] @entity66 :: ('MESH:D004194', 'Disease') :: ['damage to the cortical or deep venous system'] @entity51 :: ('MESH:D009461', 'Disease') :: ['focal deficits', 'neurological dysfunctions'] @entity1653 :: ('MESH:D008579', 'Disease') :: ['intracranial meningiomas', 'intracranial meningioma', 'meningioma'] @entity1723 :: ('MESH:D003922', 'Disease') :: ['insulin-dependent diabetes'] @entity751 :: ('MESH:D013577', 'Disease') :: ['psychorganic syndrome']
@entity1653 :: (MESH:D008579,Disease) :: ['Intracranial meningiomas']
