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Hypofractioned skull base meningioma radiosurgery (case report)

https://doi.org/10.17650/1683-3295-2021-23-1-101-108

Abstract

The objective is to describe a case of hypofractioned skull base meningioma radiosurgery.

Clinical case. For 5 years, female patient S., 55 years old, suffered from headaches. In 2012, magnetic resonance imaging of the brain showed petroclival meningioma on the left actively and homogenously accumulating the contrast agent. The patient refrained from any type of treatment. Control magnetic resonance imaging showed an increase in tumor size up to 24 × 45 × 27 mm; at the lateral margin it spread to the left temporal area, at the medial margin it grew around the left optic nerve, chiasm spreading into the left maxillary sinus. We performed three-fraction radiosurgery for skull base meningioma according to hypofractionation scheme (7 Gr / fraction with 2 day interval). 37 months postoperatively, tumor volume had complete regression. There are no optic disturbances.

Conclusion. This case report demonstrates treatment results of difficult structure tumor and describe radiosurgical possibilities in big size meningiomas.

About the Authors

A. S. Tokarev
N.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare Department
Russian Federation

3 Bolshaya Sukharevskaya Sq., Moscow 129090, Russia



S. E. Zuev
N.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare Department
Russian Federation

Sergey Evgenievich Zuev

3 Bolshaya Sukharevskaya Sq., Moscow 129090, Russia



V. A. Rak
N.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare Department
Russian Federation

3 Bolshaya Sukharevskaya Sq., Moscow 129090, Russia



V. N. Stepanov
N.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare Department
Russian Federation

3 Bolshaya Sukharevskaya Sq., Moscow 129090, Russia



G. V. Koynash
N.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare Department
Russian Federation

3 Bolshaya Sukharevskaya Sq., Moscow 129090, Russia



O. L. Evdokimova
N.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare Department
Russian Federation

3 Bolshaya Sukharevskaya Sq., Moscow 129090, Russia



A. A. Grin
N.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare Department; A.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of Russia
Russian Federation

3 Bolshaya Sukharevskaya Sq., Moscow 129090, Russia

Bld. 1, 20 Delegatskaya St., Moscow 127473, Russia



V. E. Sinitsyn
Lomonosov Moscow State University
Russian Federation

1 Leninskie Gory, Moscow 119991, Russia



A. V. Prirodov
N.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare Department
Russian Federation

3 Bolshaya Sukharevskaya Sq., Moscow 129090, Russia



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Review

For citations:


Tokarev A.S., Zuev S.E., Rak V.A., Stepanov V.N., Koynash G.V., Evdokimova O.L., Grin A.A., Sinitsyn V.E., Prirodov A.V. Hypofractioned skull base meningioma radiosurgery (case report). Russian journal of neurosurgery. 2021;23(1):101‑108. (In Russ.) https://doi.org/10.17650/1683-3295-2021-23-1-101-108

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ISSN 1683-3295 (Print)
ISSN 2587-7569 (Online)
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