INTRACRANIAL TUMOURS IN THE ELDERLY: DIAGNOSIS AND TREATMENT

A series of 111 intracranial tumours in elderly patients, investigated by modern methods, is reviewed. The clinical picture of progressive neurological deficit, and/or intellectual impairment, did not differ greatly from that of younger patients, but the manifestations of raised intracranial pressur...

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Bibliographic Details
Published in:Age and ageing 1984-05, Vol.13 (3), p.152-158
Main Authors: GODFREY, J. B., CAIRD, F. I.
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Brain Neoplasms - diagnosis
Brain Neoplasms - secondary
Brain Neoplasms - surgery
Cerebellar Neoplasms - diagnosis
Combined Modality Therapy
Dexamethasone - therapeutic use
Diagnosis, Differential
Female
Humans
Intracranial Pressure - drug effects
Male
Medical sciences
Meningeal Neoplasms - diagnosis
Meningioma - diagnosis
Neurology
Neuroma, Acoustic - diagnosis
Pituitary Neoplasms - diagnosis
Tumors of the nervous system. Phacomatoses
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Summary:A series of 111 intracranial tumours in elderly patients, investigated by modern methods, is reviewed. The clinical picture of progressive neurological deficit, and/or intellectual impairment, did not differ greatly from that of younger patients, but the manifestations of raised intracranial pressure (headache and papilloedema) were much less common in the elderly. Intermittency of symptoms appeared to be a relatively common phenomenon with meningiomas, occurring in four of 12 symptomatic cases. Operative treatment, for removal of meningiomas or relief of obstructive hydrocephalus, produced improvement in almost all cases, with a low morbidity and mortality. High-dose steroid therapy produced substantial, if temporary, benefit in 51% of hemisphere tumours.
ISSN:0002-0729
1468-2834
DOI:10.1093/ageing/13.3.152