Radiosurgery of the Skull Base: A Case-Based Approach explores non-invasive treatment of skull base pathologies using radiosurgery—all with a practical, case-based approach. This succinct, easy-to-navigate clinical reference covers stereotactic radiosurgery of skull base lesions, allowing you to quickly look up a specific pathology and tailor your radiosurgical strategy accordingly for the best treatment plan.
Key Features
- Covers the basics of radiosurgery, including fundamentals of radiobiology, dose tolerances, and particle therapy, as well as how and when to utilize radiosurgery in patients with skull base tumors.
- Provides a pragmatic and structured approach to more than 50 pathologies along various regions of the skull base.
- Includes tumor treatment plans for various pathologies, including vestibular and facial schwannomas, pituitary adenomas, meningiomas, chordomas, trigeminal neuralgia, metastases, and more.
- Presents cases based on real patient scenarios, with thorough descriptions of planning, dosages, outcomes, and follow-up images.
- Discusses the dose tolerance of surrounding structures, which influences the overall treatment plan.
An eBook version is included with purchase. The eBook allows you to access all of the text, figures, and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud.
Author Information
Edited by Siviero Agazzi, MD, MBA, Chief of Cranial Surgery and Chief of Radiosurgery, University of South Florida, Tampa, Florida; Lawrence Berk and Mohammad Hassan A. Noureldine
SECTION 1
Skull Base Radiosurgery: The Basics
1 Stereotactic Radiosurgery Machines
2 Fundamentals of Radiobiology for Radiosurgery
3 Stereotactic Radiosurgery/Radiotherapy with Particle Therapy
4 Dose Tolerances of Normal Tissues in Skull Base Radiosurgery
SECTION 2
Olfactory Groove/Planum Sphenoidale/Paranasal Region
5 Esthesioneuroblastoma – Delayed Postoperative Radiosurgery for Recurrence at Short-Term
6 Esthesioneuroblastoma – Delayed Postoperative Radiosurgery for Recurrence at Long-Term
7 Olfactory Groove Meningioma – Upfront Radiosurgery
8 Planum Sphenoidale Meningioma – Upfront Radiosurgery
9 Planum Sphenoidale/Orbital Roof Meningioma – Delayed Postoperative Radiosurgery for Recurrence
10 Paranasal Sinus Melanoma – Definitive Stereotactic Body Radiation Therapy
SECTION 3
Sellar/Suprasellar/Parasellar Region – Pituitary Adenoma
11 Null Cell – Delayed Postoperative Radiosurgery for Growing Intracavernous Residual
12 Null Cell – Delayed Postoperative Radiosurgery for Growing Perioptic Residual
13 ACTH Secreting – Delayed Postoperative Radiosurgery of Gland for Recurrent Pathology-Negative Cushing Disease
14 Growth Hormone Secreting – Immediate Postoperative Radiosurgery for Residual
15 Prolactinoma – Immediate Postoperative Radiosurgery for Residual
SECTION 4
Sellar/Suprasellar Region – Other Than Pituitary Adenoma
16 Craniopharyngioma – Delayed Postoperative Radiosurgery for Recurrence
17 Tuberculum Sella Meningioma – Upfront Radiosurgery
18 Suprasellar Meningioma – Immediate Postoperative Radiosurgery for Residual
19 Suprasellar Non-Small Cell Lung Carcinoma Metastasis – Upfront Radiosurgery
SECTION 5
Parasellar Space/Cavernous Sinus Region
20 Trigeminal Schwannoma – Upfront Radiosurgery
21 Trigeminal Schwannoma – Upfront, StagedVolume Radiosurgery
22 Cavernous Sinus Meningioma – Upfront Radiosurgery
23 Cavernous Sinus Meningioma – Immediate Postoperative Radiosurgery for Perioptic Residual
24 Cavernous Sinus Meningioma – Immediate Postoperative Radiosurgery for Residual Tumor After Repeat Resection
SECTION 6
Clivus/Petroclival Junction
25 Chondrosarcoma – Definitive Radiosurgery After Subtotal Resections
26 Chordoma – Immediate Postoperative/PostProton Therapy Radiosurgery for Residual Disease
27 Cavernous Sinus/Petroclival Meningioma – Immediate Postoperative Radiosurgery for Residual/Postoperative Radiosurgery for Recurrence
28 Chondrosarcoma/Trigeminal Neuralgia – Upfront, Multisession Radiosurgery/Postoperative Radiosurgery for Trigeminal Neuralgia
SECTION 7
Cerebellopontine Angle Region – Other Than Vestibular Schwannoma
29 Petrous Apex Meningioma – Upfront Radiosurgery
30 Sphenopetroclival Meningioma – Delayed Postoperative Radiosurgery for Growing Residual
31 Petrous Ridge/Sigmoid Sinus Meningioma – Upfront Radiosurgery
32 Petrosal Surface/Sigmoid Sinus Meningioma – Delayed Postoperative Multisession Radiosurgery for Growing Residual
33 Endolymphatic Sac Tumor – Immediate Postoperative Radiosurgery of Surgical Bed
34 Cisternal Trigeminal Schwannoma – Upfront Radiosurgery
35 Trochlear Schwannoma – Upfront Radiosurgery
SECTION 8
Internal Auditory Canal/Cerebellopontine Angle Region – Vestibular Schwannoma and Facial Schwannoma
36 Medium Vestibular Schwannoma without Hearing Deficit – Upfront Radiosurgery
37 Medium Vestibular Schwannoma with Hearing Deficit – Upfront Radiosurgery
38 Large Vestibular Schwannoma – Immediate Postoperative Radiosurgery for Residual
39 Large Vestibular Schwannoma – Delayed Postoperative Radiosurgery for Growing Residual
40 Small Vestibular Schwannoma with Hearing Deficit – Upfront Radiosurgery
41 Small Facial Schwannoma with Hearing Deficit – Upfront Radiosurgery
SECTION 9
Trigeminal Neuralgia
42 Trigeminal Neuralgia due to Microvascular Conflict – Upfront Radiosurgery
43 Idiopathic Trigeminal Neuralgia – Upfront Radiosurgery
44 Trigeminal Neuralgia due to Trigeminal Schwannoma – Upfront Radiosurgery
45 Trigeminal Neuralgia due to Petroclival Meningioma – Upfront Radiosurgery
SECTION 10
Jugular Foramen Region
46 Capillary Hemangioma – Postoperative Radiosurgery for Residual Tumor
47 Jugular Foramen/Sigmoid Sinus Meningioma – Postoperative Radiosurgery for Residual Tumor
48 Jugular Foramen Meningioma – Upfront Radiosurgery
49 Jugular Paraganglioma – Postoperative Radiosurgery for Residual Tumor
50 Jugular Paraganglioma – Upfront Radiosurgery
51 Vagal Schwannoma – Postoperative Radiosurgery for Residual Tumor
52 Jugular Foramen Schwannoma – Upfront Radiosurgery
53 Jugular/Clival Paraganglioma – Delayed Postembolization, Multisession Radiosurgery for Growing Residual
SECTION 11
Foramen Magnum/Clivus Region
54 Foramen Magnum Meningioma – Upfront Radiosurgery
55 Foramen Magnum/Petroclival Meningioma – Immediate Postoperative Radiosurgery for Residual
56 Occipital Condyle/Clivus/C1 Vertebra Metastasis – Upfront Stereotactic Body Radiation Therapy
SECTION 12
Major Sinuses
57 Superior Sagittal/Transverse Sinuses Meningioma – Immediate Postoperative, Staged-volume Radiosurgery for Residual/Delayed Postoperative Radiosurgery for Growing Residual
58 Superior Sagittal Sinus Meningioma – Delayed Postoperative, Multisession Radiosurgery for Growing Residual
59 Superior Sagittal Sinus Meningioma – Immediate Postoperative Radiosurgery for Residual
60 Torcular/Tentorial Meningioma – Upfront Radiosurgery
61 Transverse Sinus Dural Arteriovenous Fistula – Upfront, Preembolization Radiosurgery
62 Tentorial Dural Arteriovenous Fistula – Upfront Radiosurgery
