Monday, October 7, 2013

CAVERNOMA - VASCULAR MALFORMATIONS _ CYBERKNIFE

     


 A 36 year old man from Kolkata was evaluated for the complaints of double vision and swaying while walking for 2 months. MRI showed a cavernous malformation in the brain stem. He was referred for radiotherapy as the location was eloquent. He was irradiated with fractionated radiosurgery keeping in mind the site of the lesion. 6 months after treatment he came for follow up. His gait was steady, his vision had improved and the MRI showed a dramatic decrease in the size of the lesion.


Vascular malformations of the brain pose threat by their propensity to bleed and cause neurological deficits. The brain stem location of this cavernoma makes surgery an obsolete option. The effective and conformal dose delivery helped in reduction in the volume of the malformation and improvement of symptoms.

Apollo Hospitals has treated more than 1000 cyberknife cases.


The patient was under treatment with Dr.Rathna Devi, senior consultant Radiation Oncologist. 

For More information feel free to blog your comments or write to lakshmipriya_b@apollohospitals.com or I can be reached @9940675877

CYBERKNIFE TREATMENT - ACOUSTIC SCHWANNOMA


      A 47 year old lady from Kolkata was evaluated for decreased hearing in the left ear. MRI revealed an acoustic schwannoma. BERA (audiometry) revealed profound to severe hearing loss on the left side. She came for radiosurgery. She was irradiated with cyberknife radiosurgery technique in January 2013. Six months later she came for follow up. Her hearing had improved and it was confirmed with an Audiometry then. MRI also showed a decrease in the size of the lesion.


Acoustic schwannoma is a benign neoplasm in the eight cranial nerve.  Surgery for these lesions are complicated by the fact that preservation of hearing is a difficulty. Cyberknife radiosurgery delivers adequate dose to control the tumor growth with preservation of hearing.


We have successfully completed more than 1000 cases 


The patient was under treatment with Dr.Rathna Devi, senior consultant Radiation Oncologist. 


For More information feel free to blog your comments or write to lakshmipriya_b@apollohospitals.com or I can be reached @9940675877

Sunday, October 6, 2013

CYBERKNIFE TREATMENT FOR TRIGEMINAL NEURALGIA

tA 68 year old gentleman from Kolkata presented to our outpatient facility with complaints of left sided facial pain. He has been on medications for trigeminal neuralgia for the past 24 years with little benefit. He had been on and off medications and had also tried alternative medicine. He was not willing to undergo surgery. He was referred here for radiosurgery. He was irradiated with single fraction radiosurgery by cyberknife in July 2013. Less than two months later has 90% relief of pain.


Trigeminal neuralgia is a condition where the patients experience unbearable pain on one side of the face with major debilitation due to pain. These patients are treated with cyberknife radiosurgery so that a large dose is delivered to 2mm  of the nerve with extreme precision. The adjacent brainstem can be successfully protected with cyberknife radiosurgery and the pain relief starts within a month

The patient was under treatment with Dr.Rathna Devi, senior consultant Radiation Oncologist. 

For More information feel free to blog your comments or write to lakshmipriya_b@apollohospitals.com or I can be reached @9940675877