Радиохирургическое лечение менингиомы основания черепа в режиме гипофракционирования

Цель работы – описать клинический случай радиохирургического лечения менингиомы основания черепа в режиме гипофракционирования.

Клиническое наблюдение. Пациентку С., 55 лет, в течение 5 лет беспокоила головная боль. В 2012 г. при магнитно-резонансной томографии обнаружена петрокливальная менингиома слева, активно равномерно накапливающая контрастный препарат. Больная воздержалась от какого‑либо лечения. Позже при контрольном исследовании головного мозга выявлено увеличение размеров опухоли до 24 × 45 × 27 мм; при этом по латеральному контуру она распространялась в левую височную область, по медиальному контуру обрастала левый зрительный нерв, хиазму и проникала в левую верхнечелюстную пазуху. Выполнено радиохирургическое лечение менингиомы основания черепа в режиме гипофракционирования (3 фракции с предписанной дозой 7 Гр на фракцию) c межфракционным интервалом 2 дня. За время наблюдения (37 мес) отмечено уменьшение объема опухоли, зрение сохранилось на дооперационном уровне.

Заключение. Данный клинический пример демонстрирует возможности радиохирургического лечения менингиом большого размера и сложной структуры.

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