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A Unified Methodological Framework for Vestibular Schwannoma Research
Published on: June 20, 2017
Radiation necrosis of the brain after radiosurgery for vestibular schwannoma
Hamid R Djalilian1, Aaron G Benson, Kasra Ziai
1Department of Otolaryngology, University of California, Irvine Medical Center, Orange, CA 92868, USA. skullbasesurgery@yahoo.com
Objective:
The objective of this study was to obtain a better understanding of radiation-induced brain necrosis after stereotactic radiation therapy for vestibular schwannomas.
Study Design:
We conducted a retrospective case analysis.
Setting:
The study took place at a tertiary referral center.
Patients:
We report on the case of a patient treated with stereotactic radiation who developed radiation-induced necrosis of the ipsilateral temporal lobe.
Intervention:
The various interventions in patients with radiation-induced necrosis include steroid treatment, decompression, and hyperbaric oxygen therapy; these are discussed briefly in this article. Owing to the limited symptoms in our patient, she was observed.
Main Outcome Measure:
The outcome measure that we evaluated was radiation-induced necrosis of the brain after stereotactic radiation therapy for a vestibular schwannoma.
Results:
Patients who undergo stereotactic radiation therapy for vestibular schwannomas are at risk for radiation-induced brain necrosis.
Conclusion:
We support the development of a national database that would track the long-term complications of stereotactic radiation therapy to help patients make a more informed decision for the treatment of their vestibular schwannomas.