Development of more sophisticated magnetic resonance imaging scans, the chances of finding asymptomatic patients with vestibular schwannomas as with other intracranial pathologies are increasing. Gamma Knife radiosurgery for vestibular schwannomas has been documented as an efficient and safe procedure based on the treatments in worldwide literature. Preservation of hearing, but not tinnitus, is...

In the algorithm of Leksell GAMMAPLAN (the treatment planning software of Leksell Gamma Knife), scattered photons from the collimator system are presumed to have negligible effects on the Gamma Knife dosimetry. In this study, we used the EGS4 Monte Carlo (MC) technique to study the scattered photons coming out of the single beam channel of Leksell Gamma Knife. The PRESTA (Parameter Reduced Elec...

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...

PURPOSE To report a case of diffuse peripapillary choroidal melanoma which began as a small choroidal nevus and was successfully treated with gamma knife radiotherapy. METHODS Observational case report. RESULTS A 31-year-old visually asymptomatic man presented for a routine eye examination and was noted to have a small choroidal nevus. Six years later, the lesion had become a diffuse juxtap...

The accuracy of the dose planning system (Leksell GammaPlan), used in Gamma Knife (type B) radiosurgery at extreme irradiation depths, was verified using the Monte Carlo technique. EGS4 Monte Carlo calculations were employed to calculate the dose distribution along the x, y and z axes for an irradiation relatively shallow in a spherical bony cavity water phantom. Two different sizes of the coll...