Successful Stereotactic Radiosurgery with the CyberKnife® of a Giant Arteriovenous Malformation of the Tongue: A Case Report

被引：9

作者：

Saito, Kenichi ^{[1
]}

Imate, Yuji ^{[2
]}

Fukuda, Teruyo ^{[3
]}

Kajiwara, Koji ^{[4
]}

Ishihara, Hideyuki ^{[4
]}

Suzuki, Michiyasu ^{[4
]}

Sato, Katsuro ^{[5
]}

机构：

[1] Konan St Hill Hosp, Dept Neurosurg, CyberKnife Ctr, Yamaguchi 7590204, Japan

[2] Yamaguchi Univ, Sch Med, Dept Otolaryngol, Yamaguchi, Japan

[3] Yamaguchi Univ, Sch Med, Dept Dent, Yamaguchi, Japan

[4] Yamaguchi Univ, Sch Med, Dept Neurosurg, Yamaguchi, Japan

[5] Niigata Univ, Sch Med, Dept Otolaryngol, Niigata, Japan

来源：

STEREOTACTIC AND FUNCTIONAL NEUROSURGERY | 2009年 / 87卷 / 03期

关键词：

Arteriovenous malformation; CyberKnife (R); Fractionation; Frameless stereotaxy; Stereotactic radiosurgery; Tongue arteriovenous malformation; HEAD; NECK; RADIOTHERAPY; CANCER; SIZE;

D O I：

10.1159/000222662

中图分类号：

Q189 [神经科学];

学科分类号：

071006 ;

摘要：

We report a successful outcome for a large arteriovenous malformation (AVM) of the tongue treated with CyberKnife (R) (CK) image-based stereotactic radiosurgery (SRS). A 56-year-old man presenting with a tongue AVM underwent ligation of the lingual artery and partial resection of the nidus. Sixteen years later, his pulsating submandibular mass had enlarged. An image study revealed a remarkable re-expansion of the nidus involving the tongue and the oral floor, with a volume of 130 ml. CK SRS was performed with 2 fractions. The prescribed marginal dose was 22 Gy. Thirty-four months after SRS, angiography demonstrated complete obliteration of the nidus without major adverse effects. We conclude that CK SRS may be suitable for the treatment of AVMs in the head and neck region. Copyright (C) 2009 S. Karger AG, Basel

引用

页码：182 / 190

页数：9

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