Gamma Knife Radiosurgery for Neurofibromatosis-II

20 years male from Afghanistan, underwent excision of right CPA SOL in December 13, 2023  insertion of VP shunt in November 27, 2023 presented with complains headache for 6 months, difficulty in walking for 2 & ½ months & loss of right hearing for 1 & ½ months. Patient has no history of radiation & chemotherapy. On clinical examination patient is on wheel chair, right facial palsy, loss of right hearing & ataxia. MRI brain with contrast dated October 29, 2023 shows extra axial enhancing mass lesions seen in bilateral CPA with extension into intra canalicular component suggestive of neurofibromatosis-2. 

Follow up Comparative Study after 6months:

Patient visited the gamma knife center for first routine follow up presented with good resolved  clinical symptoms.Recent MRI brain with contrast dated June 29, 2024 shows significant regression in the targeted Right lesion and sizeable regression in left side when compared with previous MRI brain with contrast dated October 29, 2023 consistent with good ongoing control of lesion.