Linear Accelerator and Greitz-Bergstrom's Head Fixation System in Radiosurgery of Single Cerebral Metastases. A Report of 86 Cases

Overview

Journal Acta Neurochir (Wien)

Specialty Neurosurgery

Date 1993 Jan 1

PMID 8512010

Citations 1

Authors

V Valentino

M A Mirri

G Schinaia

G Dalle Ore

Affiliations

Soon will be listed here.

Abstract

Between 1984 and 1991 86 patients with single cerebral metastases underwent linear accelerator radiosurgery using the atraumatic and reproducible Greitz-Bergström head-fixation device. Routine one-month follow-up documented disappearance of the tumour in 16 patients, with resolution of the oedema and ventricular shift. Shrinkage of the metastasis occurred in 51 patients. In 9 patients the tumour remained stable, in 7 there was progression of tumour size. Among the patients showing shrinkage of the tumour or unchanged tumour volume, repeated radiosurgery resulted in disappearance of the metastasis in 5 and further shrinkage in 28. In 14 patients routine stereotactic CT follow-up study led to the detection of a new metastasis, again treated with excellent results. Local recurrence occurred in 2 patients and radiation necrosis in the target area in 5 patients. Radiosurgery thus proves to be an appropriate alternative to surgery. The versatility of our non-invasive and painless method permits CT staging (which we consider essential) without hospitalization of the patient.

Citing Articles

The role of adjuvant radiation and multiple resection within the surgical management of brain metastases.

Weber F, Riedel A, Koning W, Menzel J Neurosurg Rev. 1996; 19(1):23-32.

PMID: 8738362 DOI: 10.1007/BF00346606.

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