Abstract

Objective – to study early results of surgical treatment in 176 patients with supratentorial tumors (ST) with a stroke-like course. Materials and methods. The results of surgical treatment of 176 patients with stroke-like tumors were studied. They were treated at the urgent neurosurgery clinic of the Kyiv Emergency Hospital during the period from 2008 to 2015. The age of the patients was 20-70 years, the average age was (53.7 ± 13.4) years. There were 104 (59.1 %) men, 72 (40.9 %) women. Intracerebral tumors were diagnosed in 156 (88.6 %) cases, metastasis was observed in 35 (19.9%), 20 (11.4 %) patients have extracranial tumors Patients were divided into two groups depending on cerebrovascular accident: the group I – 103 patients had hemorrhagic type of cerebrovascular accident, the group II – 73 patients had ischemic type of cerebrovascular accident. In early postoperative period, CT and/or MRI was performed in all cases to detect postoperative complications and evaluate the radicality of surgical resection. An ophthalmologic review before and after surgery was performed. Results. Total resection was achieved in 68 (38.6 %) patients, near total – in 82 (46.6 %), subtotal – in 26 (14.8 %). All 176 patients had less than 70 points of Karnovsky scale before surgery, after treatment the number of this patients decreased to 36 (20.5 %) patients. Improvement of quality life was noted in regression of neurological deficits, restoration of functional disorders, high degree of social adaptation. Conclusions. The main criteria of successful surgical treatment of tumors with stroke-like course. is the survival of patients with radical surgical resection and satisfactory quality of life in the postoperative period. Factors that influence the removal of the tumors with stroke-like course are size of the lesion, its localization, and the histological characteristics of the tumors. Therapeutic tactics in patients with tumors with stroke-like course should be based on an individual approach. Adequate surgical removal of the tumors and hematomas evacuation improve the quality of life in most patients (79.5 %).

Highlights

  • 10. GLOBOCAN 2012Estimated Cancer Incidence, Mortality and Prevalence Worldwide in 2012. International Agency for Research on Cancer

  • All 176 patients had less than 70 points of Karnovsky scale

  • Improvement of quality life was noted in regression of neurological deficits

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Summary

10. GLOBOCAN 2012

Estimated Cancer Incidence, Mortality and Prevalence Worldwide in 2012. International Agency for Research on Cancer. Intraparenchymal hemorrhage from dural metastasis of breast cancer mimicking meningioma. Yoo H, Jung E, Gwak HS et al Surgical outcomes of hemorrhagic metastatic brain tumors. Цель работы — проанализировать ближайшие результаты хирургического лечения больных с супратенториальными опухолями головного мозга (СОГМ) с инсультоподобным течением. Изучены ближайшие результаты хирургического лечения 176 больных с СОГМ с инсультоподобным течением, которые находились на стационарном лечении в клинике неотложной нейрохирургии больницы скорой медицинской помощи г. Основным критерием успешного хирургического лечения СОГМ с инсультоподобным течением является выживание больных при высокой радикальности хирургического вмешательства и удовлетворительных показателях качества жизни в послеоперационный период. Ключевые слова: супратенториальные опухоли головного мозга, нарушение мозгового кровообращения, хирургическое лечение, ближайшие результаты лечения. Objective — to study early results of surgical treatment in 176 patients with supratentorial tumors (ST) with a stroke-like course

Materials and methods
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