Results of Outpatient Gamma Knife Radiosurgery for Primary Therapy of Acoustic Neuromas

作者: Alexander Muacevic , A. Jess-Hempen , J. C. Tonn , B. Wowra

DOI: 10.1007/978-3-7091-0583-2_8

关键词:

摘要: Stereotactic radiosurgery (SRS) has been recognized as a non-invasive alternative to surgery for the treatment of acoustic neuromas. Purpose current study was define impact outpatient gamma knife (GKS) patients with unilateral sporadic neuromas treated within ten years. Follow-up images were analyzed using tumor volume measurements. 219 by GKS primary therapy. Patients NF-2 tumors excluded. eligible up 10 size limit 12.5 cm3. The median follow time 6 years after rad iosurgery. local control rate high (97%). Cranial nerve morbidities comparably low. 10% developed hearing loss and one patient experienced transient facial neuropathy (0.5%). Transient trigeminal neuropath y in 12 (5%) found be dependent on before treatment. Outpatient is safe effective method selected vestibular schwannomas.

参考文章(28)
Wolfgang T. Koos, Ch. Matula, D. Levy, K. Kitz, Microsurgery versus radiosurgery in the treatment of small acoustic neurinomas. Acta Neurochirurgica. ,vol. 63, pp. 73- 80 ,(1995) , 10.1007/978-3-7091-9399-0_15
David W. Andrews, Craig L. Silverman, Jon Glass, Beverly Downes, Richard J. Riley, Benjamin W. Corn, Maria Werner-Wasik, Walter J. Curran Jr., Carey E. McCune, Robert H. Rosenwasser, William A. Buchheit, Preservation of cranial nerve function after treatment of acoustic neurinomas with fractionated stereotactic radiotherapy. Preliminary observations in 26 patients. Stereotactic and Functional Neurosurgery. ,vol. 64, pp. 165- 182 ,(1995) , 10.1159/000098746
Chung Ping Yu, Joel Yiu Chung Cheung, Samuel Leung, Robert Ho, Sequential volume mapping for confirmation of negative growth in vestibular schwannomas treated by gamma knife radiosurgery Journal of Neurosurgery. ,vol. 93, pp. 82- 89 ,(2000) , 10.3171/JNS.2000.93.SUPPLEMENT_3.0082
John C. Flickinger, Douglas Kondziolka, Bruce E. Pollock, L.Dade Lunsford, Evolution in technique for vestibular schwannoma radiosurgery and effect on outcome. International Journal of Radiation Oncology Biology Physics. ,vol. 36, pp. 275- 280 ,(1996) , 10.1016/S0360-3016(96)00335-5
Joseph C. Poen, Alexandra J. Golby, Kenneth M. Forster, David P. Martin, Daniel M. Chinn, Steven L. Hancock, John R. Adler, John R. Adler, Fractionated stereotactic radiosurgery and preservation of hearing in patients with vestibular schwannoma: a preliminary report. Neurosurgery. ,vol. 45, pp. 1299- 1307 ,(1999) , 10.1097/00006123-199912000-00004
Olusola K. Ogunrinde, L. Dade Lunsford, John C. Flickinger, Douglas Kondziolka, Stereotactic radiosurgery for acoustic nerve tumors in patients with useful preoperative hearing: results at 2-year follow-up examination Journal of Neurosurgery. ,vol. 80, pp. 1011- 1017 ,(1994) , 10.3171/JNS.1994.80.6.1011
Kenji Kagei, Hiroki Shirato, Keishiro Suzuki, Toyohiko Isu, Yutaka Sawamura, Tohru Sakamoto, Satoshi Fukuda, Takeshi Nishioka, Seiko Hashimoto, Kazuo Miyasaka, Small-field fractionated radiotherapy with or without stereotactic boost for vestibular schwannoma. Radiotherapy and Oncology. ,vol. 50, pp. 341- 347 ,(1999) , 10.1016/S0167-8140(99)00031-6
Robert L. Foote, Robert J. Coffey, Jerry W. Swanson, Stephen G. Harner, Charles W. Beatty, Robert W. Kline, Lorna N. Stevens, Theresa C. Hu, Stereotactic radiosurgery using the gamma knife for acoustic neuromas International Journal of Radiation Oncology Biology Physics. ,vol. 32, pp. 1153- 1160 ,(1993) , 10.1016/0360-3016(94)00454-S