Clinicopathological study of meningioma from rural setup of central India : A 5 year experience

Abstract

Introduction: Meningioma comprises if 33.5% of total CNS tumors detected. There is lack of clinicopathological study of meningioma from rural setup in central India. The objective of this study is to give idea about the descriptive epidemiology, clinical presentation and histopathology for the central India rural population. Materials and Methods: This study is retrospective observational study from the period of January 2014 to Feb 2019 in MGIMS, Sewagram. Inclusion criteria consists of all the histopathological proven cases of meningioma in department of Neurosurgery, MGIMS Sewagram during the same period. Rest of the CNS tumors were excluded from the study. Results: Out of 168 cases of CNS tumors operated, menigioma consists of 44 cases accounting for 26.19% of total CNS tumors. The average age of presentation was 44.1 years. M:F ratio of 1:1.32. Most common affected age group was 30-50 years comprising 24 cases (54.54%) The most common clinical symptoms for intracranial meningioma were headache followed by vomiting and seizures. Among intracranial meningioma, the most common location was convexity meningioma (40.54%) followed by parasagittal (13.51%) and parafalcine meningioma (10.81%). Most common histopathological variety encountered was meningothelial in 42.72% cases. WHO grade I consists of majority of the tumors (95.45%) while grade II consists of 4.55%. Conclusion: The descriptive epidemiology of meningioma in our rural setup roughly correlates with the epidemiology elsewhere in India apart from the male to female ratio; which could be due to lack of seeking medical care among females in our society. Keywords: CNS tumor, Meningioma, Epidemiology of meningioma.