Department of Clinical Neurosciences, Division of Neurosurgery, Geneva University Hospitals, 4, rue Gabrielle Perret-Gentil, 1211, Geneva, Switzerland.
Faculty of Medicine, University of Geneva, Geneva, Switzerland.
Acta Neurochir (Wien). 2021 Jan;163(1):67-71. doi: 10.1007/s00701-020-04569-2. Epub 2020 Sep 8.
Intracranial meningiomas mostly affect patients in their fifth decade and beyond, raising pertinent questions regarding the risk of surgery, particularly in the elderly. Here, we describe the case of a septuagenarian patient with occipital meningioma causing severe visual field cuts that experienced full recovery of the visual function after a Simpson I resection of the lesion. This case illustrates the potential of recovery of the brain, even in the case of severely impaired function in elderly patients. To complete the picture, we review the literature on occipital meningiomas, advocating for systematic reports and increase data collection on post-operative neurological recovery in the elderly.
颅内脑膜瘤主要影响五十岁以上的患者，这引发了关于手术风险的问题，尤其是在老年人中。在这里，我们描述了一例七十多岁的患者，其枕部脑膜瘤导致严重的视野缺损，在对病变进行 Simpson I 切除术（肿瘤切除术的一种）后，其视觉功能完全恢复。该病例说明了即使在老年患者功能严重受损的情况下，大脑也有恢复的可能。为了更全面地说明问题，我们回顾了有关枕部脑膜瘤的文献，并提倡对老年人术后神经恢复进行系统报告和增加数据收集。
