Trochlear nerve schwannomas are extremely rare. We present a surgically excised case of trochlear nerve schwannoma followed by Gamma Knife (ELEKTA, Stockholm, Sweden) after histologic confirmation. A 52-year-old man presented with diplopia, gait disturbance, and sensory disturbance. Magnetic resonance imaging demonstrated a large cystic mass at ambient cistern on the right side. Subtotal excisi...

Trigeminal neuralgia (TN) is a disabling pain condition that has classically been treated using either surgical or medical techniques. Several researchers have shown that stereotactically delivered radiation can be an effective tool in the amelioration of this condition. For these studies, the Gamma Knife was used to deliver the radiation treatment. The target location was designated as the pro...

Gamma-Knife became an established therapeutic alternative for selected cases of vestibular schwannomas (benign tumors rooting from Scwann cells of vestibular nerve). However, the long term results and effects on the tumor and surrounding brain are still a matter of research. We analyze the imagistic findings in the patients with vestibular scwannomas treated with gamma-knife radiosurgery in the...

BACKGROUND Both fractionated external beam radiotherapy and single fraction radiosurgery for pituitary adenomas are associated with the risk of hypothalamic-pituitary (HP) axis dysfunction. OBJECTIVE To analyze the effect of treatment modality (Linac, TomoTherapy, or gamma knife) on hypothalamic dose and correlate these with HP-axis deficits after radiotherapy. METHODS Radiation plans of pa...

abstract background: the gamma knife radiosurgery (gkr) is an established management option for cerebral ar-teriovenous malformations (avms). therapeutic benefits of radiosurgery for arteriovenous malformations are complete obliteration of nidus with minimal neurological deficit. methods: radiosurgery was performed between february 2003 and april 2010 at kamraniye day clinic, teh-ran, iran, usi...

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...

Gamma knife radiosurgery is an effective technique for treating arteriovenous malformations. However, treatment failures can occur as a result of incomplete visualization of the arteriovenous malformation nidus. We describe the use of bilateral femoral artery catheterization and simultaneous dual vessel cerebral angiography to facilitate treatment planning during gamma knife treatment.

The Leksell Gamma Knife [Elekta Corp] uses helmets as collimators to produce four standard beam sizes. The nominal beam diameters are 18, 14, 8, and 4 mm. During computer treatment planning for gamma knife stereotactic radiosurgery, the size of the treated volume may differ from the standard beam sizes. To maintain conformality of the isodose curves to the treated volume, beam sizes may be supe...