By J. W. Berkelbach van der Sprenkel, N. M. J. Knufman, P. C. van Rijen, P. R. Luyten (auth.), L. Symon, L. Calliauw, F. Cohadon, J. Lobo Antunes, F. Loew, H. Nornes, E. Pásztor, J. D. Pickard, A. J. Strong, M. G. Yaşargil (eds.)

ISBN-10: 0387822879

ISBN-13: 9780387822877

ISBN-10: 3211822879

ISBN-13: 9783211822876

ISBN-10: 3709166721

ISBN-13: 9783709166727

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Extra info for Advances and Technical Standards in Neurosurgery

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However they are installed in Departments of radiotherapy or physics and used by radiotherapists, the neurosurgeon playing a secondary role in the team. In the future this may, if not now, influence decision making and the selection of patients for treatment. In the following review of radiosurgery with Gamma Knife, we discuss the pathologies treated and the results obtained. The results available with photons and heavy particles and pertinent future developments in the field will also be discussed.

After another Radiosurgery 43 Table 1. Patients with A VM Treated by Gamma Knife 1970-1990 Nr cases Age F M Diameter Volume range Nr feeders 1,141 3-73 546 595 5-65mm 1-40cc 1-7 year and with the second case cured, a further 3 cases were treated. In 1977 we reported 30 AVM treated with the Gamma Knife (Steiner et al. 1977). Between March, 1989, and March, 1991,364 of 1600 referred AVMs have been accepted for radiosurgery. It is pertinent to mention that the majority of cases have been referred by leading neurosurgeons around the world with a large experience in the microsurgery of AVM.

Both a stereotactic CT scan and a stereotactic angiogram were carried out. The angiogram revealed the vascular supply and the vascular target was calculated on the angiogram. In the treatment of larger meningiomas not amenable to complete coverage with an effective radiation dose, sometimes only the vascular supply of the tumour was included in the radiation fields. Gamma Knife in Arteriovenous Malformations The use of radiation for AVM during the period 1914-1950 failed to achieve clear-cut results (Wegmann 1969, Krayenbiihll957, Olivecrona et af.

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Advances and Technical Standards in Neurosurgery by J. W. Berkelbach van der Sprenkel, N. M. J. Knufman, P. C. van Rijen, P. R. Luyten (auth.), L. Symon, L. Calliauw, F. Cohadon, J. Lobo Antunes, F. Loew, H. Nornes, E. Pásztor, J. D. Pickard, A. J. Strong, M. G. Yaşargil (eds.)


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