Meningioma Follow-up

Updated: Jan 26, 2017
  • Author: Georges Haddad, MD; Chief Editor: Tarakad S Ramachandran, MBBS, MBA, MPH, FAAN, FACP, FAHA, FRCP, FRCPC, FRS, LRCP, MRCP, MRCS  more...
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Follow-up

Further Outpatient Care

Patients who undergo operation for meningiomas should receive regular follow-up with enhanced MRI to check for possible recurrences. [38] Patients who are discharged home with antiepileptic agents should be monitored by a neurologist.

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Further Inpatient Care

Before or after surgery, patients with skull-base meningiomas may have numerous disabilities, such as diplopia, dysphasia, dysphagia, or motor weakness. These problems should be managed with a multidisciplinary approach (eg, occupational therapy, physiotherapy, speech therapy).

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Prognosis

Patients whose meningiomas are completely resected usually have an excellent prognosis.

Tumor size may play a role in determining outcome. In a study of 34 patients who underwent surgery for CPA meningiomas, Agarwal et al found that the rate of permanent cranial nerve deficits was significantly greater in patients with tumors of more than 3 cm in size than in those with smaller meningiomas (45.5% vs 5.9%, respectively). It was also found that deficits of the lower cranial nerves occurred only in patients whose tumors extended into the jugular foramen. No association was found between tumor extension into the internal acoustic canal and either postoperative complications or cranial nerve deficits. Among all patients, 5.9% suffered postoperative facial nerve palsy. [39]

The following types of meningiomas are most likely to recur: incompletely excised, malignant, or multiple tumors.

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