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 6th 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.
