Sacko et al reported the SKALE score (sex, KPS, ASA. location, edema) score to determine if an older patient with a meningioma can undergo surgery. The authors are from Pellegrin University and Hopital Purpan in France.
Patient selection: intracranial meningioma and >= 80 years old
Parameters:
(1) sex
(2) Karnofsky Performance Status
(3) ASA class
(4) location (critical if in the cranial base, an eloquent area or near a large vessel)
(5) edema
Parameter
Finding
Points
sex
female
2
male
0
Karnofsky Performance Status
>= 80
4
60 or 70
2
<= 50
0
ASA class
I or II
4
III
2
IV
0
location
not critical
2
critical
0
edema
none
4
moderate
2
severe
0
total score =
= SUM(points for all 5 parameters)
Interpretation:
• minimum score: 0
• maximum score: 16
• The lower the score the worse the outcome.
• Surgery is feasible if the score is >= 8.
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