By Johannes Schramm
This quantity experiences regular remedies for spinal dural arteriovenous fistulas, interpreting the anatomy of arteries and veins of the sylvian fissure, in addition to microsurgical advances and the advance of recent healing thoughts in intracranial meningiomas. The advances part offers a technique for minimizing listening to loss after stereotactic radiosurgery for vestibular schwannomas, in addition to an outline of the mode of motion and biology of ALA, together with its interplay with tumor cells and the bounds of this system. A devoted bankruptcy addresses the fundamental query of the bounds (and benefits) of varied tractography thoughts and in their significance for non-specialists, who could be tempted to take advantage of them uncritically. an extra bankruptcy examines molecular markers, that have turn into regular in neuropathological reviews on intracranial tumors, reviewing the prognostic and predictive worth of those smooth molecular markers in gliomas. extra chapters around out the assurance, providing a finished review of ordinary and complex techniques.
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Extra resources for Advances and Technical Standards in Neurosurgery: Volume 43
Otol Neurotol 27:172–182 66. Linskey ME (2000) Stereotactic radiosurgery versus stereotactic radiotherapy for patients with vestibular schwannoma: a Leksell Gamma Knife Society 2000 debate. J Neurosurg 93(Suppl 3):90–95 67. Linskey ME (2008) Hearing preservation in vestibular schwannoma stereotactic radiosurgery: what really matters? J Neurosurg 109(Suppl):129–136 68. Linthicum FH Jr, Brackmann DE (1980) Bilateral acoustic tumors. A diagnostic and surgical challenge. Arch Otolaryngol 106:729–733 69.
The recommended dose to the tumour margin has been decreased to 12–13 Gy to help avoid cranial neuropathies and produce improved tumour control rates [18, 45, 50]. However, one should keep in mind that use of a decreased radiation dose coupled with the possible distortion of magnetic resonance images could cause some VSs to receive less than the optimal dose , leading to a failure of tumour control and to hearing loss. The importance of the accuracy and conformity of the prescribed dose is also shown by the fact that tumour control rates have improved with advances in the neuroimaging techniques used in radiosurgical planning, even with a decrease in the tumour marginal dose to approximately half of the dose initially used by Leksell .
Mandl ES, Meijer OW, Slotman BJ, Vandertop WP, Peerdeman SM (2010) Stereotactic radiation therapy for large vestibular schwannomas. Radiother Oncol 95:94–98 75. Maniakas A, Saliba I (2012) Conservative management versus stereotactic radiation for vestibular schwannomas: a meta-analysis of patients with more than 5 years’ follow-up. Otol Neurotol 33:230–238 76. Maniakas A, Saliba I (2012) Microsurgery versus stereotactic radiation for small vestibular schwannomas: a meta-analysis of patients with more than 5 years’ follow-up.