By Motohiro Hayashi (auth.), Mikhail F. Chernov, Motohiro Hayashi, Jeremy C. Ganz, Kintomo Takakura (eds.)
The articles during this quantity disguise a few of the ideas of the optimum administration of mind tumors, vascular lesions, and useful problems. they supply a superb stability among microneurosurgery and radiosurgery, offering additionally substitute surgical and radiosurgical treatment plans with discussions on their benefits and drawbacks. The presentation of a number of therapy equipment may help to supply greater carrier to sufferers. a few papers, particularly highlighting replacement healing procedures, are observed through editorials ready through well-known specialists within the box.
Additional emphasis is wear significance of the complicated neuroimaging options for radiosurgical therapy making plans and next follow-up.
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Extra resources for Gamma Knife Neurosurgery in the Management of Intracranial Disorders
Her hearing on the ipsilateral side corresponded to Gardner-Robertson class IV, and facial nerve function was normal (House-Brackmann grade 1). Because of a documented history of myocardial infarction, the patient decided to be treated with GKS instead of microsurgery. The treatment planning is shown in Fig. 3. The large size of the tumor prevented the facial and vestibulocochlear nerves to be A 56-year-old woman had gradual hearing disturbance and balance problems. MRI revealed right-sided VS (Koos stage III).
The strategy differed slightly in four patients with neurofibromatosis type 2 (NF2), who underwent intentional subtotal resection. Nevertheless, the latter cases were included in the analyzed group because the efficacy of radiosurgery is considered similar in cases of sporadic VS and NF2 . All of the patients were categorized into three groups according to time of GKS application with regard to surgery and the effectiveness of the irradiation. 1. GKS was performed after surgery for management of a residual or regrowing tumor, and it resulted in shrinkage of the tumor (three cases).
7 %). In fact, the rate of postoperative hearing preservation in cases of VS depends on the size of the tumor, the level of preoperative hearing, and the skills of the surgeon [6, 7]. For small tumors it varies from 20 % to 70 %. However, even with large neoplasms some patients still have useful hearing, and in some of them it is preserved after tumor removal [5, 6, 8, 9, 12, 14]. 5 %, and the facial nerve was preserved in 90 %. In the present study, all but one patient who underwent operation before or after GKS had a Koos stage IV tumor.