Stereotactic Radiosurgery For Multiple Intracranial Ependymomas

Keywords: gamma knife, outcome, ependymoma, radiosurgery, Imaging

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     To illustrate a case of multi focal ependymoma treated by Gamma Knife.
     A 14 years old girl underwent multiple surgical excisions for the ependymoma in the right fronto-parietal region followed by fractionated radiation therapy and chemotherapy in 1998. Histopathology revealed Anaplastic ependymoma (WHO grade III). Now the patient presented with headaches off and on.
     MRI brain shows recurrent ependymoma with multiple intraventricular seedlings (6 in number). Radiosurgery was performed using Gamma Knife.
     The tumors markedly decrease in size after Gamma Knife Radiosurgery.
     This is a retrospectives study.
     Stereotactic Radiosurgery is a minimally invasive management strategy which can be used as adjunct treatment after failed surgery, radiation therapy or chemotherapy.
     Radiosurgery can be also used as the primary treatment modality for the small and inaccessible ependymomas.


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