A retrospective cohort study on the surgical treatment outcome of patients operated for Parasagittal/falcine Meningioma at Tikur Anbessa Specialized Hospital and Myungsung Christian Medical Center from August 1, 2015 to July 31, 2019
| dc.contributor.advisor | Sahlu, Abat(MD Assistant Professor of Neurosurgery Head of Neurosurgery Unit ) | |
| dc.contributor.author | Yibalih, Samson | |
| dc.date.accessioned | 2021-02-11T06:36:11Z | |
| dc.date.accessioned | 2023-11-05T09:31:21Z | |
| dc.date.available | 2021-02-11T06:36:11Z | |
| dc.date.available | 2023-11-05T09:31:21Z | |
| dc.date.issued | 2020-10 | |
| dc.description.abstract | Background: The surgical management of parasagittal and falcine meningiomas is challenging due to their proximity to the superior sagittal sinus and cortical draining veins. This nature of the tumors poses several hazards of complication related to surgery. There is a limitation of analyzed and published data on this topic in low-income countries with limited-resource settings. Objective: This study aims to assess the surgical treatment outcome of parasagittal and Falcine meningiomas at TASH and MCM, Addis Ababa, Ethiopia. Methods: This is a hospital-based retrospective cohort study of surgically treated Parasagittal and Falcine meningioma patients from August 1, 2015, to July 31, 2019. Data was collected using a well-designed questionnaire, encoded, and analyzed in SPSS version 26. Pearson’s chisquare and bivariate analysis were done to identify strongly associated factors with the complications and functional outcome of patients. Result: A total of 61 patients were operated of which 36(59%) were females. The mean age was 46.1(20 to 78) years. The mean duration of preoperative symptoms was 16.38 (1 to 60) months. Common preoperative clinical findings were headache in 47(77%) patients, motor weakness in 33(54%) patients, seizure in 26(42.6%), and Visual deficit in 17(27.9%) patients. Mean tumor size was 5.9(3.5 to 8) cms. Complete resection (SG I or II) was done in 47(77%) patients and macroscopic GTR(SG I, II, or III) was done in 54(88.5%) patients. Meningothelial was the commonest histologic type in 29(49.2%) and most tumors were WHO G1 in 47(79.9%) patients. There were 46 perioperative complications in 17(27.9%) patients. At the end of follow up 53(86.9%) patients were alive and most (45, 84.9%) of the surviving patients had substantial improvement in functional performance status. Conclusion: This study showed most of the surviving patients had significant improvement in their functional performance status which was positively related to the degree of tumor resection and a better preoperative functional status of the patients. There is a high rate of perioperative complications and this is strongly related to a longer duration of preoperative symptoms before their first surgery and the intraoperative incidents. | en_US |
| dc.identifier.uri | http://etd.aau.edu.et/handle/123456789/25059 | |
| dc.language.iso | en_US | en_US |
| dc.publisher | Addis Abeba University | en_US |
| dc.subject | Parasagittal , Falcine Meningiomas | en_US |
| dc.title | A retrospective cohort study on the surgical treatment outcome of patients operated for Parasagittal/falcine Meningioma at Tikur Anbessa Specialized Hospital and Myungsung Christian Medical Center from August 1, 2015 to July 31, 2019 | en_US |
| dc.type | Thesis | en_US |