BACKGROUND AND PURPOSE Gamma knife radiosurgery has become an important treatment option for vestibular schwannoma. The effect of treatment can be assessed only by neuroimaging. We analyzed the evolution of follow-up MR imaging findings after gamma knife radiosurgery to provide information for the clinical management of these tumors. METHODS Changes in tumor volume and enhancement were assess...

The management of pituitary adenomas entails a multidisciplinary approach that involves neurosurgeons, endocrinologists, and radiation oncologists. Traditionally, the treatment included medical management, surgery (transsphenoidal microsurgical resection and transcranial approaches), and conventional fractionated radiotherapy. Stereotactic radiosurgery, through the various competing radiosurgic...

BACKGROUND Radiation-induced meningiomas present a unique clinical dilemma given the fact that patients with these tumors have often received a prior full course of radiotherapy. As such, traditional radiotherapy is limited by lifetime tissue tolerances to radiation, leaving surgery and radiosurgery as attractive treatment options. OBJECTIVES To ascertain the safety and efficacy of Gamma Knif...

BACKGROUND AND PURPOSE Gamma knife radiosurgery is an alternative for the treatment of medically refractory trigeminal neuralgia. Few reports of posttreatment MR imaging appearance of cranial nerve V exist. Our purpose was to define MR imaging characteristics in cranial nerve V after gamma knife radiosurgery. METHODS We retrospectively reviewed MR images of 15 patients who underwent gamma kni...

Background Intracranial epidermoid tumors are commonly found in the cerebellopontine angle where they usually present with either trigeminal neuralgia or hemifacial spasm. Radiosurgery for these tumors has rarely been reported. The purpose of this study is to assess the safety and clinical outcome of the treatment of cerebellopontine epidermoid tumors with gamma knife radiosurgery. Methods Th...

Tumors of the endolymphatic sac are locally invasive temporal bone neoplasms. Radical surgical excision is the treatment of choice; however, the aggressive nature of these tumors can make total excision impossible. Recurrence is common in cases of incomplete resection. Gamma knife radiosurgery was used to treat two patients with primary tumors of the endolymphatic sac and one recurrent case. Al...

BACKGROUND The predominant treatment modality for meningioma is surgical resection. However, gamma knife radiosurgery is also an important treatment modality for meningioma that is small or cannot be completely removed because of its location. In this study, we evaluated the effectiveness and long-term results of radiosurgical treatment for meningioma in our institution. METHODS We studied 62...

Radiosurgery is a therapeutic technique to deliver high dose radiation to the target. It induces radiobiological responses of lesions while minimizing radiation effect to the surrounding area. Gamma knife is one of the representative devices for stereotactic radiosurgery, which is exclusively designed for treatment of cerebral disorders. Gamma knife was developed as the first radiosurgical devi...

BACKGROUND Trigeminal neuralgia is a debilitating condition caused by compression of the trigeminal nerve, ganglions, or divisions. Gamma knife radiosurgery has been increasingly used in the treatment of trigeminal neuralgia as a non-invasive alternative to microvascular decompression and rhizotomies. METHODS We reviewed the medical literature regarding outcomes, time course, and prognostic f...

Vestibular schwannomas are common, and gamma knife radiosurgery is a treatment option of symptomatic tumors. Hydrocephalus may be a complication of gamma knife treatment of vestibular schwannoma, though the cause-and-effect relationship can be debated because tumors can cause hydrocephalus without treatment. We present an MR imaging study of an unusual case of communicating hydrocephalus after ...