XXXX in the aged: surgical outcome in the era of computed tomography.

@entity1 @entity1653 @entity5 @entity16
Seventy-five @entity1 older than 60 years of age underwent surgical resection of @entity1653 during a 10-year period at a single institution. All @entity1 had a computed tomographic scan preoperatively, and all were followed for at least 3 months postoperatively. There were 50 @entity1 61 to 70 years of age (Group A), and 25 @entity1 older than 70 years (Group B). Sixteen @entity1 (21%) were asymptomatic, and no @entity1 was severely disabled preoperatively. Operative morbidity and mortality and outcome at 3 months were assessed and correlated with age, preoperative @entity16 , and @entity5 size and location. Operative mortality was 6.6% (6% in Group A; 8% in Group B). Perioperative morbidity (including medical and surgical complications and worsening in @entity16 ) was 48% (46% in Group A; 52% in Group B). Neurological status 3 months after surgery was improved by at least one grade as compared to before surgery in 40% of @entity1 (38% in Group A; 44% in Group B), unchanged in 29% (34% in Group A; 20% in Group B), and worsened in 31% (28% in Group A; 36% in Group B). While nearly half of the @entity1 were asymptomatic 3 months after surgery, 11 @entity1 (15%) had died or remained seriously disabled. Outcome at 3 months correlated significantly with low neurological grade preoperatively and with a @entity5 location over the cortical convexity. There was no significant correlation with age or @entity5 size. We conclude that resection of @entity1653 is associated with significant morbidity and mortality in the elderly.(ABSTRACT TRUNCATED AT 250 WORDS)
