Gamma Knife Radiosurgery for Left Paraganglioma:

32 years female, underwent retro mastoid craniectomy in August 06, 2019 by Dr Farooq Azam presented with complaints of headache for 7 years, loss of left hearing before surgery, facial palsy after surgery & double vision for 1 year. Patient has no history of radiation & chemotherapy. On clinical examination patient has loss of left hearing left facial palsy & right 6^th nerve palsy. MRI brain with contrast dated August 12, 2022 shows large enhancing lesion seen in left side of base of skull at jugular fossa with intra cranial extension & left upper cervical extension & encasement of left internal carotid artery. Histopathology dated August 20, 2019 shows para ganglioma.

 Follow up Comparative Study :

Patient consulted the gamma knife center for the first routine follow up presented with recent MRI Brain with contrast dated October 2023 shows regression in the targeted lesion when compared with previous MRI Brain with contrast dated August 12, 2022 consistent with ongoing control of tumor.

 

Gamma Knife Radiosurgery For Left Parietal Glioma

Case Summary:

52 year lady, K/C of HTN presented with complaints of fits for 6 months & weakness in right limbs for 6 months. Patient has no history of surgery, radiation & chemotherapy. On clinical examination, patient is sitting on the chair has slightly affected working memory & right hemiparesis. MRI brain with contrast dated October 13, 2023 shows poorly enhancing intra axial abnormal signal intensity mass lesion seen in the left temporal parietal region involving the left basal ganglia.

PRE-OPERATIVE SCANS

 Follow up comparative study :

In comparison to the previous scans , there is regression in the targeted SOL with post radiation changes , consistet with ongoing response to GKSRS therapy.