Role of gamma knife surgery for intracranial atypical (WHO grade II) meningiomas.

Abstract:

OBJECT:Atypical meningioma often recurs even after resection. As a salvage modality, radiotherapy or stereotactic radiosurgery (SRS) is attempted for this aggressive tumor. This retrospective study was performed to evaluate the efficacy of SRS that involved Gamma Knife surgery (GKS) for atypical meningioma. METHODS:The authors reviewed records from 22 patients with histologically proven atypical meningioma who underwent GKS for 28 lesions at the authors' institute. The median patient age was 70 years (range 24-91 years), and the median tumor volume for each procedure was 6.0 cm3 (range 1.6-38.7 cm3). The margin dose ranged from 14 to 20 Gy (median 18 Gy). Follow-up periods ranged from 3 months to 98 months (median 23.5 months). RESULTS:In total, 39 GKS procedures were performed for 28 lesions. The local control rates at 1, 2, and 5 years were 74%, 39%, and 16%, respectively. Volume less than 6 cm3 (p = 0.01), a margin dose higher than 18 Gy (p = 0.02), and a Karnofsky Performance Scale (KPS) score of 90 or more (p = 0.02) were factors associated with a longer duration of tumor control in the univariate analysis. CONCLUSIONS:Atypical meningioma could be more successfully controlled when a higher margin dose was used to treat patients with a good performance (KPS score of ≥ 90) status and smaller tumor volumes. It would be desired if patients are treated with a relatively higher margin dose, ideally as high as the dose applied for malignant tumor. A boost SRS after fractionated radiotherapy may be effective to achieve better local control.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Hanakita S,Koga T,Igaki H,Murakami N,Oya S,Shin M,Saito N

doi

10.3171/2013.8.JNS13343

subject

Has Abstract

pub_date

2013-12-01 00:00:00

pages

1410-4

issue

6

eissn

0022-3085

issn

1933-0693

journal_volume

119

pub_type

杂志文章
  • Quantification of thermal asymmetry. Part 2: Application in low-back pain and sciatica.

    abstract::Temperature differences between the lower extremities were measured using a computerized thermometric scanning system in order to compare the degree of thermal asymmetry in 144 patients with low-back pain. The patients displayed highly significant thermal asymmetries, with the involved limb being cooler (p less than 0...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1988.69.4.0556

    authors: Uematsu S,Jankel WR,Edwin DH,Kim W,Kozikowski J,Rosenbaum A,Long DM

    更新日期:1988-10-01 00:00:00

  • Stereotactic radiosurgery versus stereotactic radiotherapy for patients with vestibular schwannoma: a Leksell Gamma Knife Society 2000 debate.

    abstract::By definition, the term "radiosurgery" refers to the delivery of a therapeutic radiation dose in a single fraction, not simply the use of stereotaxy. Multiple-fraction delivery is better termed "stereotactic radiotherapy." There are compelling radiobiological principles supporting the biological superiority of single-...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2000.93.supplement

    authors: Linskey ME

    更新日期:2000-12-01 00:00:00

  • Meningioma of the pineal region: a surgical series of 10 cases.

    abstract::Ten cases of meningioma of the pineal region were histologically verified at a single institution during an 8-year period. These represented 0.3% of 3061 intracranial meningiomas, as well as 6.2% of 164 pineal tumors. Patients were predominantly women. Symptoms and signs of increased intracranial pressure were most co...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1996.85.4.0586

    authors: Konovalov AN,Spallone A,Pitzkhelauri DI

    更新日期:1996-10-01 00:00:00

  • The clinical significance and optimal timing of postoperative computed tomography following cranial surgery.

    abstract:OBJECT:This study was conducted to evaluate the value of postoperative CT scans in determining the probability of return to the operating room (OR) and the optimal time to obtain such scans to determine the effects of surgery. METHODS:Between January and December 2006 (12 months), all postoperative head CT scans obtai...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2009.11.JNS081048

    authors: Khaldi A,Prabhu VC,Anderson DE,Origitano TC

    更新日期:2010-11-01 00:00:00

  • Calcified cervical intervertebral discs in children. Report of three cases.

    abstract::Calcified cervical intervertebral discs in children are manifestations of an uncommon, distinct disease of unknown cause. Acute symptoms are usually followed by a benign course of spontaneous recovery, frequently culminating in resorption of the calcium. Rarely herniation of the disc may cause neurological complicatio...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1977.46.2.0233

    authors: Smith RA,Vohman MD,Dimon JH 3rd,Averett JE Jr,Milsap JH Jr

    更新日期:1977-02-01 00:00:00

  • Asymptomatic subdural chondrosarcoma. Case report.

    abstract::This report describes a large, asymptomatic, subdural skeletal-type condrosarcoma originating from the meninges. Distinction between the mesenchymal and skeletal types of intracranial chondrosarcoma is important since they have different prognoses. ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1978.48.5.0825

    authors: Alvira MM,McLaurin RL

    更新日期:1978-05-01 00:00:00

  • Surgical treatment of syringomyelia. Favorable results with syringoperitoneal shunting.

    abstract::The authors reviewed the clinical findings, radiological evaluation, and operative therapy of 39 patients with syringomyelia. Syringoperitoneal (SP) shunting was used in 15 patients and other procedures were used in 24 patients. Follow-up periods ranged from 1 1/2 to 12 years. During the period of this study, metrizam...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1984.61.3.0531

    authors: Barbaro NM,Wilson CB,Gutin PH,Edwards MS

    更新日期:1984-09-01 00:00:00

  • Long-term outcome after removal of spinal schwannoma: a clinicopathological study of 187 cases.

    abstract::Are spinal schwannomas as benign as we think? To what extent do patients recover? Are patients prone to develop late complications such as cystic myelopathy or symptomatic spinal deformity? Is their life expectancy compromised? In an effort to answer these questions, the authors analyzed the long-term outcome for 187 ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1995.83.4.0621

    authors: Seppälä MT,Haltia MJ,Sankila RJ,Jääskeläinen JE,Heiskanen O

    更新日期:1995-10-01 00:00:00

  • Successful surgical treatment of an odontogenic ossified craniopharyngioma. Case report.

    abstract::A large, highly ossified craniopharyngioma was diagnosed and surgically treated in a 2-year-old girl. About 20 teeth were macroscopically identified in the operative specimen, some of them totally developed, complete with crown and root. Pathological study established the diagnosis of craniopharyngioma with formation ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1981.55.5.0832

    authors: Alvarez-Garijo JA,Froufé A,Taboada D,Vila M

    更新日期:1981-11-01 00:00:00

  • The facial nerve in medial acoustic neuromas.

    abstract:OBJECT:Functional results after surgery for acoustic neuromas that have little or no growth within the internal auditory canal are controversial, because these medial tumors can grow to a considerable size within the cerebellopontine angle (CPA) before symptoms occur. METHODS:A prospective study was designed to evalua...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2002.97.5.1083

    authors: Strauss C

    更新日期:2002-11-01 00:00:00

  • Intradural extramedullary tuberculoma of the cervical spine. Case report.

    abstract::A case is reported of a 45-year-old man who developed quadriplegia following a trivial motor-vehicle accident. Investigation including computerized tomography (CT) of the cervical spine revealed a large calcified lesion displacing the spinal cord and nerve roots, which proved to be a tuberculoma. The case is unusual i...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1984.60.1.0200

    authors: Compton JS,Dorsch NW

    更新日期:1984-01-01 00:00:00

  • Stereotactic radiosurgery for arteriovenous malformations after Onyx embolization: a case-control study.

    abstract:OBJECT:Onyx, an ethylene-vinyl alcohol copolymer mixed in a dimethyl sulfoxide solvent, is currently one of the most widely used liquid materials for embolization of intracranial arteriovenous malformations (AVMs). The goal of this study was to define the risks and benefits of stereotactic radiosurgery (SRS) for patien...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2014.12.JNS141437

    authors: Lee CC,Chen CJ,Ball B,Schlesinger D,Xu Z,Yen CP,Sheehan J

    更新日期:2015-07-01 00:00:00

  • Inhibition of delayed arterial narrowing by the iron-chelating agent deferoxamine.

    abstract::The potential role of iron in cerebral vasospasm was examined in the rat femoral artery model by the perivascular application of deferoxamine, a ferric ion chelator and antioxidant. In 25 rats, platelet-rich plasma or fresh autologous whole blood containing deferoxamine at concentrations of 1, 5, 10, or 15 mg/ml was a...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1992.77.5.0763

    authors: Harada T,Mayberg MR

    更新日期:1992-11-01 00:00:00

  • Correlation between the efferent venous drainage of the tumor and peritumoral edema in intracranial meningiomas: superselective angiographic analysis of 25 cases.

    abstract:OBJECT:The extent of peritumoral brain edema (PTBE) associated with meningiomas can be highly variable. The authors studied the correlation between the development of efferent venous drainage from the tumor and the degree of PTBE that occurs in intracranial meningiomas. METHODS:Twenty-five patients with 27 intracrania...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2006.104.3.382

    authors: Tanaka M,Imhof HG,Schucknecht B,Kollias S,Yonekawa Y,Valavanis A

    更新日期:2006-03-01 00:00:00

  • Long-range plasticity between intact hemispheres after contralateral cervical nerve transfer in humans.

    abstract:OBJECT:Peripheral nerve injury in a limb usually causes intrahemispheric functional reorganization of the contralateral motor cortex. Recently, evidence has been emerging for significant interhemispheric cortical plasticity in humans, mostly from studies of direct cortical damage. However, in this study, a long-range i...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2010.1.JNS09448

    authors: Zuo CT,Hua XY,Guan YH,Xu WD,Xu JG,Gu YD

    更新日期:2010-07-01 00:00:00

  • Effect of intrathecal fibrinolysis on cerebrospinal fluid absorption after experimental subarachnoid hemorrhage.

    abstract::The effect of intrathecal fibrinolysis on cerebrospinal fluid (CSF) absorption was investigated after experimental subarachnoid hemorrhage (SAH). In 11 cats, SAH was induced by intracisternal application of 1 to 4 ml of fresh autologous blood. Thirty minutes after the experimental SAH, the CSF outflow resistance was f...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1991.74.5.0789

    authors: Brinker T,Seifert V,Stolke D

    更新日期:1991-05-01 00:00:00

  • Severe posttraumatic craniocervical instability in the very young patient. Report of three cases.

    abstract::Children younger than 3 years of age represent a distinct subpopulation of patients at particular risk for high cervical and craniovertebral injuries. There are few descriptions of survivors of severe craniocervical trauma among the very young, and scarce data exist regarding management after initial emergency stabili...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/ped.2004.101.2.0102

    authors: Ghatan S,Newell DW,Grady MS,Mirza SK,Chapman JR,Mann FA,Ellenbogen RG

    更新日期:2004-08-01 00:00:00

  • Treatment of spontaneous carotid-cavernous fistula in Ehlers-Danlos syndrome by transvenous occlusion with Guglielmi detachable coils. Case report and review of the literature.

    abstract::The authors report on a young woman with Ehlers-Danlos syndrome (EDS) Type IV in whom a spontaneous direct carotid-cavernous fistula (CCF) was treated by transvenous occlusion with regular and fiber-coated Guglielmi detachable coils. To the authors' knowledge, this is the first time this approach has been used in a pa...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,评审

    doi:10.3171/jns.2000.93.4.0689

    authors: Kanner AA,Maimon S,Rappaport ZH

    更新日期:2000-10-01 00:00:00

  • Validation of transcranial Doppler ultrasound with a stereotactic neurosurgical technique.

    abstract::Vessel identification during a transcranial Doppler (TCD) ultrasound examination is usually based on well-established inferential criteria without confirmation by imaging. Part of a routine study involves taking measurements from the M1 segment of the middle cerebral artery (MCA) and the A1 segment of the anterior cer...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1995.82.6.0972

    authors: Monsein LH,Razumovsky AY,Ackerman SJ,Nauta HJ,Hanley DF

    更新日期:1995-06-01 00:00:00

  • Management and outcome of hemorrhage after Gamma Knife surgery for arteriovenous malformations of the brain.

    abstract:OBJECT:Appropriate management of hemorrhage after Gamma Knife surgery (GKS) for arteriovenous malformations (AVMs) of the brain is poorly understood, although a certain proportion of patients suffer from hemorrhage. METHODS:Among 500 patients observed for 1 to 183 months (median 70 months) after GKS, 32 patients (6.4%...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/sup.2006.105.7.52

    authors: Maruyama K,Shin M,Tago M,Kurita H,Kawahara N,Morita A,Saito N

    更新日期:2006-12-01 00:00:00

  • Epidemiology of venous thromboembolism in 9489 patients with malignant glioma.

    abstract:OBJECT:The authors sought to define the incidence of symptomatic venous thromboembolism (VTE) in patients harboring malignant gliomas. METHODS:The authors conducted a retrospective analysis of data obtained in all cases of malignant glioma diagnosed in California during a 6-year period; the occurrence of a VTE was ide...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2007.106.4.601

    authors: Semrad TJ,O'Donnell R,Wun T,Chew H,Harvey D,Zhou H,White RH

    更新日期:2007-04-01 00:00:00

  • Neonatal craniopharyngioma. Case report.

    abstract::The authors report a case of craniopharyngioma in a newborn infant. Marked hydrocephalus of the fetal head was recognized in the pelvimetric roentgenograms of the mother and massive suprasellar calcification was seen in the plain skull films. ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1975.42.1.0091

    authors: Azar-Kia B,Krishnan UR,Schechter MM

    更新日期:1975-01-01 00:00:00

  • Combined treatment of advanced stages of recurrent skin cancer of the head.

    abstract:OBJECT:The authors investigated whether skull base resection and primary free-flap reconstruction in a single-stage surgery is oncologically effective for treating advanced stages of recurrent skin cancer (RSC) of the head. METHODS:Eighteen consecutive patients were surgically treated. Twelve of them underwent an ante...

    journal_title:Journal of neurosurgery

    pub_type: 临床试验,杂志文章

    doi:10.3171/jns.2004.100.4.0652

    authors: Pompucci A,Rea G,Farallo E,Salgarello M,Campanella A,Fernandez E

    更新日期:2004-04-01 00:00:00

  • Operating room waste: disposable supply utilization in neurosurgical procedures.

    abstract::OBJECTIVE Disposable supplies constitute a large portion of operating room (OR) costs and are often left over at the end of a surgical case. Despite financial and environmental implications of such waste, there has been little evaluation of OR supply utilization. The goal of this study was to quantify the utilization ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2016.2.JNS152442

    authors: Zygourakis CC,Yoon S,Valencia V,Boscardin C,Moriates C,Gonzales R,Lawton MT

    更新日期:2017-02-01 00:00:00

  • Potentiating effects of extraluminal oxyhemoglobin to intraluminal 5-hydroxytryptamine in isolated canine internal carotid arteries.

    abstract::The interaction between oxyhemoglobin (oxyHb) and 5-hydroxytryptamine (5-HT) was investigated in an experimental model of isolated canine internal and common carotid arteries with insertion of stainless steel cannulae. Extraluminal application of 10(-5) M oxyHb induced marked and long-lasting vasoconstriction in the i...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1988.69.2.0263

    authors: Tanaka Y,Chiba S

    更新日期:1988-08-01 00:00:00

  • A novel, low-cost, reusable, high-fidelity neurosurgical training simulator for cerebrovascular bypass surgery.

    abstract::OBJECTIVECerebrovascular bypass surgery is a challenging yet important neurosurgical procedure that is performed to restore circulation in the treatment of carotid occlusive diseases, giant/complex aneurysms, and skull base tumors. It requires advanced microsurgical skills and dedicated training in microsurgical techn...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2017.11.JNS17318

    authors: Cikla U,Sahin B,Hanalioglu S,Ahmed AS,Niemann D,Baskaya MK

    更新日期:2018-05-11 00:00:00

  • Cortical plasticity of motor-eloquent areas measured by navigated transcranial magnetic stimulation in patients with glioma.

    abstract::OBJECTIVE The goal of this study was to obtain a better understanding of the mechanisms underlying cerebral plasticity. Coupled with noninvasive detection of its occurrence, such an understanding has huge potential to improve glioma therapy. The authors aimed to demonstrate the frequency of plastic reshaping, find clu...

    journal_title:Journal of neurosurgery

    pub_type: 评论,杂志文章

    doi:10.3171/2016.9.JNS161595

    authors: Conway N,Wildschuetz N,Moser T,Bulubas L,Sollmann N,Tanigawa N,Meyer B,Krieg SM

    更新日期:2017-11-01 00:00:00

  • The Barrow Ruptured Aneurysm Trial: 3-year results.

    abstract:OBJECT:The authors report the 3-year results of the Barrow Ruptured Aneurysm Trial (BRAT). The objective of this ongoing randomized trial is to compare the safety and efficacy of microsurgical clip occlusion and endovascular coil embolization for the treatment of acutely ruptured cerebral aneurysms and to compare funct...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,随机对照试验

    doi:10.3171/2013.3.JNS12683

    authors: Spetzler RF,McDougall CG,Albuquerque FC,Zabramski JM,Hills NK,Partovi S,Nakaji P,Wallace RC

    更新日期:2013-07-01 00:00:00

  • Gamma knife radiosurgery for cavernous hemangiomas in the cavernous sinus. Report of three cases.

    abstract::A cavernous hemangioma occurring in the cavernous sinus is a rare vascular tumor that causes cranial nerve symptoms by direct compression. Surgical removal is often difficult because excessive intraoperative bleeding is expected. These lesions remain a therapeutic challenge even with state-of-the-art treatment modalit...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2002.97.supplement

    authors: Nakamura N,Shin M,Tago M,Terahara A,Kurita H,Nakagawa K,Ohtomo K

    更新日期:2002-12-01 00:00:00

  • Deep brain stimulation for the early treatment of the minimally conscious state and vegetative state: experience in 14 patients.

    abstract::OBJECTIVE An effective treatment of patients in a minimally conscious state (MCS) or vegetative state (VS) caused by hypoxic encephalopathy or traumatic brain injury (TBI) is not yet available. Deep brain stimulation (DBS) of the thalamic reticular nuclei has been attempted as a therapeutic procedure mainly in patient...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2016.10.JNS161071

    authors: Chudy D,Deletis V,Almahariq F,Marčinković P,Škrlin J,Paradžik V

    更新日期:2018-04-01 00:00:00