Gamma Knife Radiosurgery for Pituitary Adenoma.

Case Summary:

50 years male from Baluchistan, underwent trans sphenoidal excision of adenoma  in March 19, 2022 presented with complaints of progressive loss of right vision for 1 year & decrease left vision for 1 year. Patient has no history of chemotherapy and radiation therapy. On clinical examination pt. is blind from right eye with left temporal defect. MRI brain with contrast dated January 06, 2023 shows heterogeneous enhancing abnormal signal intensity mass lesion seen in sellar & supra sellar region suggestive of adenoma. Histopathology dated April 05, 2022 shows adenoma. Perimetry dated January 05, 2023 shows left temporal defect. Hormones profile within normal range. Risks of GKSRS have been explained. Written and valid consent obtained to proceed.

Follow up Comparative Study December 15, 2023:

Patient visited the gamma knife center for the first follow up presented with recent MRI brain with contrast dated December 14, 2023 shows further regression in the size of tumor from 4.6cc to 3.6 cc when compared with previous MRI brain with contrast dated July 04, 2023, consistent with good response to Gamma Knife Therapy

 

Gamma Knife Radiosurgery for Craniopharyngioma.

Case Summary:

9 years old boy from Karachi, underwent insertion of VP shunt in May 27, 2023 & revision of shunt in June 09, 2023  presented with history of headache with vomiting . Patient has no history of radiation & chemotherapy. On clinical examination patient has no obvious deficit. CT brain with contrast dated June 06, 2023 shows lobulated solid / cystic hypo dense mass seen in supra sellar / sellar region causing significant compression over 3^rd ventricle resulting dilatation of left lateral ventricle with CSF seepage suggestive of Craniopharyngioma. Risks of GKSRS have been explained. Written and valid consent obtained to proceed.

Follow up Comparative Study March 28,2024:

Patient consulted the gamma knife center for the first routine follow up presented with recent MRI Brain with contrast dated december 06,2023 shows significant reduction in the targeted lesion from 20.20cc to 8.033cc when compared with previous MRI Brain with contrast datedJune 06, 2023  ,consistent with good ongoing control of lesion.

 Gamma Knife Radiosurgery for Right Occipital High Grade Glioma :

Case Summary:

40 years of male from Islamabad, underwent craniotomy for Excision of SOL in August 22, 2023 presented with the complaints of headache for 3 months & no history of visual disturbances. The patient has no history of radiation & chemotherapy. On clinical examination patient has no obvious deficit. MRI brain with contrast dated September 15, 2023 shows intra axial enhancing mass lesion seen in the right occipital region with post-surgical changes suggestive of residual high grade glioma. Histopathology dated September 01, 2023 shows malignant neoplasm (glioma). Risks of GKSRS have been explained. Written and valid consent obtained to proceed.

Follow up Comparative Study 19-01-2024:

Patient consulted the gamma knife center for the second routine follow up presented with recent MRI brain with contrast dated January 15,2024 shows almost complete resolution of the targeted lesion with post radiation changes when compared with previous MRI brain with contrast dated September 15, 2023  consistent with excellent control of lesion.