Factors influencing visual and clinical outcome in Nigerian patients with cranial meningioma

Odebode, TO; Akang, E. E. U.; Shokunbi, Temitayo; Malamo, A.O.; Ogunseyinde, AO

doi:10.1016/j.jocn.2005.07.023

Cited by 19 publications

(16 citation statements)

References 21 publications

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“…This is in contrast to a study from Nigeria. 21 This may be due to large variability in time before presentation in a smaller sample of patients in this series and also that the Nigerian study was limited to meningioma's.…”

Section: Discussionmentioning

confidence: 89%

Neuro-ophthalmic and clinical characteristics of brain tumours in a tertiary hospital in Ghana

Tagoe

Essuman

Fordjuor

et al. 2015

Ghana Medical Journal

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Section: Discussionmentioning

confidence: 89%

Neuro-ophthalmic and clinical characteristics of brain tumours in a tertiary hospital in Ghana

Tagoe

Essuman

Fordjuor

et al. 2015

Ghana Medical Journal

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“…Recovery after any type of treatment, however, is generally poor [23]. Jen and Lee [24] reported an 87.5% rate of visual loss in 32 patients with suprasellar meningiomas, and Odebode et al [25] reported an 86% rate. In our cohort, patients with tuberculum sellae meningioma had the most dramatic decline in visual function (63%), including 3/5 patients treated surgically.…”

Section: Discussionmentioning

confidence: 99%

Visual disability rates in a ten-year cohort of patients with anterior visual pathway meningiomas

Bor-Shavit¹,

Hammel²,

Nahum³

et al. 2014

Disability and Rehabilitation

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Anterior visual pathway meningiomas (AVPMs) are commonly not life-threatening but they can lead to profound visual disability, especially when the tumor originates in the tuberculum sellae and cavernous sinus. Particular attention should be paid to visual acuity and visual field deficits, as these can profoundly affect the patient's quality of life including ability to drive and activities of daily living. The interdisciplinary management of patients with AVPM should include the neurosurgeon, neuro-ophthalmologist and occupational therapist. Also, early intervention by the occupational therapist can help patients adapt to their current physical and social situation and return to everyday tasks more rapidly.

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“…Meningiomas constitute about 20-30% of primary intracranial neoplasms in Africa[13172333] and are more common in females. [30] They are extra axial tumors arising from the meningothelial cells covering the brain.…”

Section: Introductionmentioning

confidence: 99%

“…[23] Yang et al . estimated that up to 2% of lower grade meningiomas progress to higher grade over 40-90 month period.…”

Section: Introductionmentioning

confidence: 99%

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Management of intracranial meningiomas in Enugu, Nigeria

Mezue

Ohaegbulam²,

Ndubuisi³

et al. 2012

Surg Neurol Int

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Background:Meningiomas may range on presentation from incidentally identified small lesions to large symptomatic tumors in eloquent areas of the brain. Management options correspondingly vary and include careful observation, surgical excision, and palliative application of very limited therapeutic maneuvers in select cases. This paper discusses the options and difficulties in the management of meningiomas in a developing country.Methods:This study is a retrospective analysis of prospectively recorded data of patients managed for intracranial meningioma between January 2006 and September 2011 at Memfys Hospital for Neurosurgery, Enugu. Radiographic diagnosis of meningioma was based on computed tomography (CT) and or magnetic resonance imaging (MRI) criteria in all cases, but only patients who had surgery and a histological diagnosis were analyzed.Results:Seventy-four patients were radiographically diagnosed with intracranial meningioma over the period under review. Fifty-five patients were operated upon and 52 (70.3%) with histological diagnosis of meningioma were further analyzed. Histological diagnosis was complete in 42 (56.8%) patients and in 10 (13.5%) patients the subtype of meningioma was not determined. The male to female ratio was 1:1.08. The peak age range for females was in the 6th decade and for males in the 5th decade. The locations were olfactory groove (26.9%), convexity (21.2%), parasagittal/falx (19.2%), sphenoid ridge (15.4%), tuberculum sellae (7.7%), tentorial (3.8%), and posterior fossa (5.8%). The most common clinical presentation was headaches in 67.3% followed by seizures (40.4%) and visual impairment (38.5%). Histology was benign (World Health Organization [WHO] grade 1) in 39 patients. One patient harbored an atypical and two had anaplastic tumors. Gross total resection of the tumor was achieved in 41 patients. Surgical mortality was 3.9%.Conclusion:Effective management of meningioma depends largely on adequate and complete surgical resection and results in good outcomes. Adequate preoperative assessment, including visual assessment, and hormonal assessment in olfactory groove and sphenoid region meningiomas, is necessary.

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Factors influencing visual and clinical outcome in Nigerian patients with cranial meningioma

Cited by 19 publications

References 21 publications

Neuro-ophthalmic and clinical characteristics of brain tumours in a tertiary hospital in Ghana

Neuro-ophthalmic and clinical characteristics of brain tumours in a tertiary hospital in Ghana

Visual disability rates in a ten-year cohort of patients with anterior visual pathway meningiomas

Management of intracranial meningiomas in Enugu, Nigeria

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