{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T20:34:29Z","timestamp":1791232469550,"version":"4.1.0"},"reference-count":26,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1999,9]]},"abstract":"<jats:p content-type=\"fine-print\"><jats:italic>Object.<\/jats:italic> The goals of this study were twofold: 1) to determine outcome, including quality of life, in patients who have undergone surgery for petroclival meningioma in which a standard skull base approach was used; and 2) to assess the impact of the patients' surgical treatment on their caregivers.<\/jats:p><jats:p content-type=\"fine-print\"><jats:italic>Methods.<\/jats:italic> Seventeen patients (13 women and four men ranging in age from 29 to 63 years) who underwent a transpetrosal approach for a petroclival meningioma during a 5-year period were prospectively included in this study. Pre- and postoperative data including adverse events were noted. The patients were assessed at 3, 6, and 12 months postoperatively, and annually thereafter, and they completed a postoperative SF-36 questionnaire. In addition, each patient's caregiver was interviewed to determine the effect of the patient's illness on the caregiver's life and responsibilities.<\/jats:p><jats:p content-type=\"fine-print\">Twenty-two operations were performed. A new permanent neurological deficit developed in five patients and in eight a temporary deficit or exacerbation of existing deficits occurred. Two patients underwent surgery to create a facial\u2014hypoglossal nerve communication; five required a temporary percutaneous gastrostomy and\/or tracheostomy; three required a shunt; and one underwent successful squint surgery. At 1 year postoperatively 13 patients had made a good or moderate recovery, three were severely disabled, and one had died\u2014outcomes in keeping with other studies. By contrast, responses to the SF-36 questionnaire showed that, in all eight of its categories, between 43% and 75% of surviving patients were functioning below accepted norms. Fifty-six percent of caregivers experienced a major change in lifestyle and 38% experienced a major change with respect to their work.<\/jats:p><jats:p content-type=\"fine-print\"><jats:italic>Conclusions.<\/jats:italic> After transpetrosal excision of a petroclival meningioma, the quality of life for the patient is worse than that indicated in surgeons' reported results. The impact on the patient's caregiver is profound\u2014a burden perhaps not fully appreciated by the surgeon.<\/jats:p>","DOI":"10.3171\/jns.1999.91.3.0359","type":"journal-article","created":{"date-parts":[[2009,5,13]],"date-time":"2009-05-13T17:21:15Z","timestamp":1242235275000},"page":"359-363","source":"Crossref","is-referenced-by-count":63,"title":["Outcome after complex neurosurgery: the caregiver's burden is forgotten"],"prefix":"10.3171","volume":"91","author":[{"given":"Dorothy A.","family":"Lang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Glenn","family":"Neil-Dwyer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Garfield","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"510","DOI":"10.1227\/00006123-198803000-00010","article-title":"Petrosal approach for petroclival meningiomas.","volume":"22","author":"Al-Mefty","year":"1988"},{"key":"b2","series-title":"MMWR","first-page":"375","article-title":"Quality of life as a new public health measure\u2014Behavioural Risk Factor Surveillance System, 1993.","volume":"43","year":"1994"},{"key":"b3","series-title":"J Image Guided Surg","doi-asserted-by":"publisher","first-page":"46","DOI":"10.1002\/(SICI)1522-712X(1995)1:1<46::AID-IGS7>3.0.CO;2-M","article-title":"Intracranial meningioma resection using frameless stereotaxy.","volume":"1","author":"Barnett","year":"1995"},{"key":"b4","series-title":"Br Med J","doi-asserted-by":"publisher","first-page":"160","DOI":"10.1136\/bmj.305.6846.160","article-title":"Validating the SF-36 health survey questionnaire: new outcome measure for primary care.","volume":"305","author":"Brazier","year":"1992"},{"key":"b5","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"813","DOI":"10.1227\/00006123-199211000-00001","article-title":"Microsurgical removal of petroclival meningiomas: a report of 33 patients.","volume":"31","author":"Bricolo","year":"1992"},{"key":"b6","series-title":"Med Care","doi-asserted-by":"publisher","first-page":"793","DOI":"10.1097\/00005650-199009000-00009","article-title":"The impact of psychologic factors on measurement of functional status. 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