Tuesday, February 21, 2012

Nasopharynx Angiofibroma

Nasopharynx Angiofibroma

This 21 years old patient from Colombo Srilanka came to us in March 2010 with the following history.

He was diagnosed as a case of nasopharynx angiofibroma in 2005 after couple of episodes of nasal bleeding, he underwent surgery for the same, but his symptoms re-occurred within 8 months. CT scan revealed recurrence. He underwent re-excision in 2006. Again in 2008 he had recurrence and 3rd surgery was done. In January 2010 MRI scan revealed recurrent mass which measured 4.1x3.8x4.0 – Left nasopharynx with erosion of left Pterygoid plate and extension to extradural space. Patient being young and had faced multiple surgeries was very anxious. His parents were also stressed, we took up the case and subjected the patient for CyberKnife Radio surgery after proper planning and verification (patient received treatment from 3.3.2010 to 8.3 .2010).



Patient is on regular follow up. The follow up scans and volume analysis shows good response to treatment with couple resolution of disease. Patient is locally asymptomatic and is in a good job. His health has improved very well, looks handsome, Parents are having a nice smile in their face.

To know more about cyberknife you may blog your comments or write to lakshmipriya_b@apollohospitals.com

Vertigo and right side hearing loss - Acoustic neuroma

Vertigo and right side hearing loss - Acoustic neuroma


A 50 years old gentleman presented with complaints of vertigo and right side hearing loss. MRI brain showed a well defined intracranial hemorrhage soft tissue lesion on the right side, possibility of an acoustic neuroma (1.1 x0.6 x0.5 cm). He was seen by ENT specialist. Audiometry revealed profound SN hearing loss on the right side and was referred to me for cyber knife radio surgery. Patient underwent Cyber Knife radio surgery from 11.10.2010 to 15.10.2010. Subsequent follow up with MRI and volume analysis has resulted not only arrest of tumour but also significant reduction in the volume of lesion, indicating success of treatment.

This patient was treated at Apollo Speciality Hospital, Chennai and has shown significant progress through cyberknife treatment


To know more about cyberknife treatment you may blog your comments or write to lakshmipriya_b@apollohospitals.com

Thursday, February 9, 2012

CYBERKNIFE TREATMENT FOR ACOUSTIC NEUROMAS

CYBERKNIFE TREATMENT FOR ACOUSTIC NEUROMAS

An acoustic Neuroma, sometimes classified as vestibular schwannoma, is a noncancerous tumor which greatly affects the vestibulocochlear cranial nerve. This nerve is responsible for your perception of hearing and stability.

One treatment solution is cyberknife treatment . The reason for this treatment technique is to eliminate the tumor, particularly if it is already large enough to result in total deafness. Furthermore, a significant tumor can also affect and alter the capabilities of other regional organs.

The appearance of cyberknife approach is a less intrusive method for treatment is Cyberknife VSI’s noninvasive surgery for acoustic neuroma. This treatment procedure utilizes gamma radiation to eradicate the developing tumor and leave the site totally free of possibly damaging tumor cells. This type of intervention not simply guards healthy tissues, but produces minimal side effects, and boosts comfort for the patient when focusing on the cancer cells in a precise manner.

With cyberknife VSI’s noninvasive surgery for acoustic neuroma today, the apollo speciality hospital, chennai, India uses up-to-date research, technologically advanced technologies, and has professional physicians to deliver this revolutionary cyberknife treatment method for effective treatment of the acoustic neuroma.

To know more about cyberknife treatment you may blog your comments or write to lakshmipriya_b@apollohospitals.com

CYBERKNIFE IN TREATMENT OF VARIOUS CANCERS

Precision without Incision
One of the UK’s most senior Clinical Oncologists is St Bartholomew's Dr Nick Plowman and he heads this section. In his article 'CyberKnife® – cancer search and destroy’ he explains the use of this powerful new treatment option as both a stand-alone method and in collaboration with other treatments such as chemotherapy.

Then Dr Andrew Gaya, Consultant Clinical Oncologist at Guy’s & St Thomas’ Hospitals NHS Foundation Trust, explains: “Most advances in cancer treatment are small steps forward, but occasionally there is a giant leap.”

CyberKnife® has provided this leap and is now a viable alternative treatment option for:

Major operations such as lung and liver resections,
•Removal of pancreas and prostatectomy
•Tumours in the body
•Tumours in the brain and spine including brain metastases, primary brain or brainstem tumours, pituitary tumours, acoustic neuromas, meningiomas, arteriovenous malformations and trigeminal neuralgia.


Source : http://www.totalhealth.co.uk/your-condition/cyberknife%C2%AE

To know more about Cyberknife treatment you may blog your comments orwrite to lakshmipriya_b@apollohospitals.com

SUCCESSFUL AVM TREATMENT WITH CYBERKNIFE

SUCEESSFUL TREATMENT OF 19 YEAR OLD WITH AVM USING CYBERKNIFE

CASE HISTORY: This 19 years old college student presented with the complaints of acute onset headache, right hemiparesis and right hemianopia. MRI revealed haemorrhagic infart in left inferior thalamus extending to capsule and old left posterior capsular infart. DSA revealed left temporal AVM (feeder Medial lenticulostride branches of Left MCA draining into vein of galen through basal vein. On examination patient had right hemianopia. Patient underwent treatment with cyber knife radio surgery on 22.6.2009. Patient is on regular follow up with Volume analysis which showed good regression of nidus. January 2011 CT angio revealed complete resolution of AVM. Patient’s vision has dramatically improved.



This 19 year old girl is now 21 years, she is also entering into married life soon. We wish her a very happy married life.

DOCTOR NAME: DR. RATHNA DEVI SR. CONSULTANT RADIATION ONCOLOGIST & CYBERKNIFE SERVICES


For more information you may blog your comments or write to lakshmipriya_b@apollohospitals.com

Cyberknife Radiation Successful For Treating Tigeminal Neuralgia


Cyberknife Radiation Successful For Treating Tigeminal Neuralgia
A small study published online in the Journal of NeuroInterventional Surgery shows that a technique in which highly concentrated beams of radiation are used, known as Cyberknife, can relieve the stabbing pain of the facial nerve condition trigeminal neuralgia.
For their study, the researchers treated 17 patients with trigeminal neuralgia between the ages of 36 and 90, with Cyberknife radio surgery between 2007 and 2009. All patients had suffered between 1 and 11 years from the condition and failed to respond to common methods of treatment.

The treatment consisted of zapping a maximum radiation dose of 73.06 Gy into a 6mm length of the trigeminal nerve, just 2 to 3mm from the root, after which the patients were frequently monitored for an average period of just less than 12 months.

Whist 14 patients reported either a partial or complete relief of symptoms; complete data was available for 16 patients. The average time before the symptoms were relieved was slightly less than two months, with variations from three weeks to half a year. The researchers noted a relapse after the procedure in four patients, occurring between 3 and 18 months later.

None of the patients reported any major complications as a result of the procedure, with only two patients reporting any sensory side effects. The researchers conclude that radio surgery provides a viable alternative to more invasive approaches and should be further investigated.

Written by Petra Rattue
Copyright: Medical News Today
Source: http://www.medicalnewstoday.com/articles/240938.php

To know more about cyberknife you may please reply with your comment or write to lakshmipriya_b@apollohospitals.com