Gamma Knife radiosurgery for acoustic Schwannoma: Effects of low radiation dose and functional prognosis

被引:38
作者
Hirato, M [1 ]
Inoue, H [1 ]
Zama, A [1 ]
Ohye, C [1 ]
Shibazaki, T [1 ]
Andou, Y [1 ]
机构
[1] GUNMA UNIV, SCH MED, HIDAKA HOSP, DEPT NEUROSURG, MAEBASHI, GUMMA 371, JAPAN
关键词
Gamma Knife radiosurgery; Schwannoma; acoustic neurinoma; hearing;
D O I
10.1159/000099803
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
The effects of relatively low dose Gamma Knife irradiation on acoustic schwannoma were evaluated in 29 patients followed over 2 years after treatment. The mean dose delivered to the tumor periphery was 12.1 Gy. Lowering of the magnetic resonance signal intensity in the tumor center appeared in 69% and signs of tumor shrinkage appeared in 59% of cases. The cyst in the tumor enlarged in 3 cases, and 2 cases developed hydrocephalus. The percentage of pure-tone hearing preservation was 82% at 3 months, 73% at 6 months, 68% at 12 months, 64% at 18 months and 59% at 24 months in 22 out of 29 cases. Relatively low dose Gamma Knife radiosurgery was effective in suppressing tumor growth, with preservation of hearing.
引用
收藏
页码:134 / 141
页数:8
相关论文
共 15 条
[1]  
Ganz J.C., 1992, STEREOTACTIC RADIOSU, P359
[2]   HEARING PRESERVATION IN UNILATERAL ACOUSTIC NEUROMA SURGERY [J].
GARDNER, G ;
ROBERTSON, JH .
ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY, 1988, 97 (01) :55-66
[3]   PRESERVATION OF HEARING IN SURGERY FOR ACOUSTIC NEUROMAS [J].
GLASSCOCK, ME ;
HAYS, JW ;
MINOR, LB ;
HAYNES, DS ;
CARRASCO, VN .
JOURNAL OF NEUROSURGERY, 1993, 78 (06) :864-870
[4]  
Hirato Masafumi, 1995, Neurologia Medico-Chirurgica, V35, P737, DOI 10.2176/nmc.35.737
[5]  
Linskey M.E., 1992, STEREOTACTIC RADIOSU, P321
[6]   RADIOSURGERY FOR ACOUSTIC NEURINOMAS - EARLY EXPERIENCE [J].
LINSKEY, ME ;
LUNSFORD, LD ;
FLICKINGER, JC .
NEUROSURGERY, 1990, 26 (05) :736-745
[7]   THE RADIOBIOLOGY OF HUMAN ACOUSTIC SCHWANNOMA XENOGRAFTS AFTER STEREOTAXIC RADIOSURGERY EVALUATED IN THE SUBRENAL CAPSULE OF ATHYMIC MICE [J].
LINSKEY, ME ;
MARTINEZ, J ;
KONDZIOLKA, D ;
FLICKINGER, JC ;
MAITZ, AH ;
WHITESIDE, T ;
LUNSFORD, LD .
JOURNAL OF NEUROSURGERY, 1993, 78 (04) :645-653
[8]  
NOREN G, 1992, RADIOSURGERY, P141
[9]   STEREOTACTIC RADIOSURGERY IN CASES OF ACOUSTIC NEURINOMA - FURTHER EXPERIENCES [J].
NOREN, G ;
ARNDT, J ;
HINDMARSH, T .
NEUROSURGERY, 1983, 13 (01) :12-22
[10]  
Nor┬u┬n G., 1988, MODERN STEREOTACTIC, P481