Pineal region Tumor. Update at 2 years follow up.

This is a young man of 26 years  with c/o headache vomiting and blurred vision.

MR imaging showed an enhancing mass in the pineal region and obstructive hydrocephalus.

MR Specrtroscopy revealed alow NAA and high choline.

V.P shunt was placed and he was treated with Gamma Knife.It was a single day treatment as usual and patient was discharged next day.

At 6 months he is back to his normal life style and the Follow up MRI shows 90% resolution of the said tumor. Now at 2 years follow Pt. is fine with consistent resolution.

Resolution at 6 Month.

Resolution at 6 Month.

Further Resolution at one year F.up.

Further Resolution at one year F.up.

Consistent Resolution at 2 years follow up.

Gamma knife Radiosurgery for Glomus Jugulare Tumor.

This 24 years old lady presented with h/o vertigo since 10 years, bilateral tinnitus more on right side since 2 years, headache since one year. She had loss of right gag and palatal reflexes, atrophied tongue on right side with fasciculation and right deviation.

.Patient was treated with marginal dose of 14 Gy with 43% isodose line was prescribed for the target volume 20.3 cc; multiple iso centers with 18, 14 and 8 mm collimators were used in APS and trunnion mode.

Pre Gamma Knife radiosurgery.
Glomus jugulare Tumor.
Volume 20.3 cc.

Follow up CT images Obtained  18 months after GKRS, showing tumor volume 5.2 cm3.

There is remarkable clinical improvement especially in tinnitus and hoarseness.