The Impact of Brain Meningioma Location and Size on Clinical Outcomes and Surgical Approach

Original Article

Abstract

Background: Brain Meningiomas, a type of common, primary brain tumor, have a diverse impact on clinical outcomes and surgical management according to size and locations.

Objective: The aim of this study was to investigate the correlation between location and size of brain meningiomas with patient clinical outcomes as well as the surgical approach chosen.

Study Design: This is a prospective analysis design study.

Duration and Place of the Study: This stud was conducted at department of neurosurgery mmc mardan , from 3^rd March 2021 to 2^nd March 2022.

Material and Methods: A total of (150) patients diagnosed with brain meningiomas were divided into three groups by tumor size (small < 3 cm, medium 3-6 cm, large > 6 cm) and location (supratentorial, infratentorial, skull base). Postoperative neurological deficits were measured in terms of recurrence rates. Surgical approaches were assessed for their invasiveness duration and complications as well.

Results: The research involved 150 patients who diagnosed with brain meningiomas. They comprised 89 Female (59.3%) and 61 Male (40.7%), with an average age of 56.4 years (range: 25-85 years). Tumor sizes were classified as small (< 3 cm) in 45 patients (30%), medium (3-6 cm) among 68 patients (45.3%) and large (> 6 cm) in 37 patients (24.7%).

Conclusion: Higher risk postoperative complications as well as recurrence rate are associated with supratentorial and larger meningiomas. Therefore, there is a need for customized surgical strategies so as to improve patient outcomes.

Keywords: Brain Meningioma, Clinical Outcomes, Surgical Approach