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.
1. Introduction - p. 1 2. 1. Stereotactic radiosurgery machines - p. 3 3. 2. Fundamentals of radiobiology for radiosurgery - p. 7 4. 3. Stereotactic radiosurgery/radiotherapy with particle therapy - p. 9 5. 4. Dose tolerances of normal tissues in skull base radiosurgery - p. 13 6. SECTION 2. Olfactory Groove/Planum Sphenoidale/Paranasal Region - p. 16 7. Introduction - p. 17 8. 5. Esthesioneuroblastoma – delayed postoperative radiosurgery for recurrence at short-term - p. 19 9. 6. Esthesioneuroblastoma – delayed postoperative radiosurgery for recurrence at long-term - p. 23 10. 7. Olfactory groove meningioma – upfront radiosurgery - p. 27 11. 8. Planum sphenoidale meningioma – upfront radiosurgery - p. 31 12. 9. Planum sphenoidale/orbital roof meningioma – delayed postoperative radiosurgery for recurrence - p. 35 13. 10. Paranasal sinus melanoma – definitive stereotactic body radiation therapy - p. 39 14. SECTION 3. Sellar/Suprasellar/Parasellar Region – Pituitary Adenoma - p. 42 15. Introduction - p. 43 16. 11. Null cell – delayed postoperative radiosurgery for growing intracavernous residual - p. 45 17. 12. Null cell – delayed postoperative radiosurgery for growing perioptic residual - p. 49 18. 13. ACTH secreting – delayed postoperative radiosurger y of gland for recurrent pathology-negative cushing disease - p. 53 19. 14. Growth hormone secreting – immediate postoperative radiosurgery for residual - p. 57 20. 15. Prolactinoma – immediate postoperative radiosurgery for residual - p. 61 21. SECTION 4. Sellar/Suprasellar Region – Other Than Pituitary Adenoma - p. 64 22. Introduction - p. 65 23. 16. Craniopharyngioma – delayed postoperative radiosurgery for recurrence - p. 67 24. 17. Tuberculum sella meningioma – upfront radiosurgery - p. 71 25. 18. Suprasellar meningioma – immediate postoperative radiosurgery for residual - p. 75 26. 19. Suprasellar non-small cell lung carcinoma metastasis – upfront radiosurgery - p. 79 27. SECTION 5. Parasellar Space/Cavernous Sinus Region - p. 82 28. Introduction - p. 83 29. 20. Trigeminal schwannoma – upfront radiosurgery - p. 85 30. 21. Trigeminal schwannoma – upfront, staged-volume radiosurgery - p. 89 31. 22. Cavernous sinus meningioma – upfront radiosurgery - p. 93 32. 23. Cavernous sinus meningioma – immediate postoperative radiosurgery for perioptic residual - p. 97 33. 24. Cavernous sinus meningioma – immediate postoperative radiosurgery for residual tumor after repeat resection - p. 101 34. SECTION 6. Clivus/Petroclival Junction - p. 104 35. Introduction - p. 105 36. 25. Chondrosarcoma – definitive radiosurgery after subtotal resections - p. 107 37. 26. Chordoma – immediate postoperative/post-proton therapy radiosurgery for residual disease - p. 111 38. 27. Cavernous sinus/petroclival meningioma – immediate postoperative radiosurgery for residual/postoperative radiosurgery for recurrence - p. 115 39. 28. Chondrosarcoma/trigeminal neuralgia – upfront, multisession radiosurgery/postoperative radiosurger y for trigeminal neuralgia - p. 119 40. SECTION 7. Cerebellopontine Angle Region – Other Than Vestibular Schwannoma - p. 122 41. Introduction - p. 123 42. 29. Petrous apex meningioma – upfront radiosurgery - p. 125 43. 30. Sphenopetroclival meningioma – delayed postoperative radiosurgery for growing residual - p. 129 44. 31. Petrous ridge/sigmoid sinus meningioma – upfront radiosurgery - p. 133 45. 32. Petrosal surface/sigmoid sinus meningioma – delayed postoperative multisession radiosurgery for growing residual - p. 137 46. 33. Endolymphatic sac tumor – immediate postoperative radiosurgery of surgical bed - p. 141 47. 34. Cisternal trigeminal schwannoma – upfront radiosurgery - p. 145 48. 35. Trochlear schwannoma – upfront radiosurgery - p. 147 49. SECTION 8. Internal Auditory Canal/Cerebellopontine Angle Region – Vestibular Schwannoma and Facial Schwannoma - p. 148 50. Introduction - p. 149 51. 36. Medium vestibular schwannoma without hearing deficit – upfront radiosurgery - p. 151 52. 37. Medium vestibular schwannoma with hearing deficit – upfront radiosurgery - p. 157 53. 38. Large vestibular schwannoma – immediate postoperative radiosurgery for residual - p. 161 54. 39. Large vestibular schwannoma – delayed postoperative radiosurgery for growing residual - p. 165 55. 40. Small vestibular schwannoma with hearing deficit – upfront radiosurgery - p. 169 56. 41. Small facial schwannoma with hearing deficit – upfront radiosurgery - p. 175 57. SECTION 9. Trigeminal Neuralgia - p. 178 58. Introduction - p. 179 59. 42. Trigeminal neuralgia due to microvascular conflict – upfront radiosurgery - p. 181 60. 43. Idiopathic trigeminal neuralgia – upfront radiosurgery - p. 183 61. 44. Trigeminal neuralgia due to trigeminal schwannoma – upfront radiosurgery - p. 185 62. 45. Trigeminal neuralgia due to petroclival meningioma – upfront radiosurgery - p. 187 63. SECTION 10. Jugular Foramen Region - p. 188 64. Introduction - p. 189 65. 46. Capillary hemangioma – postoperative radiosurgery for residual tumor - p. 191 66. 47. Jugular foramen/sigmoid sinus meningioma – postoperative radiosurgery for residual tumor - p. 195 67. 48. Jugular foramen meningioma – upfront radiosurgery - p. 199 68. 49. Jugular paraganglioma – postoperative radiosurgery for residual tumor - p. 203 69. 50. Jugular paraganglioma – upfront radiosurgery - p. 207 70. 51. Vagal schwannoma – postoperative radiosurgery for residual tumor - p. 211 71. 52. Jugular foramen schwannoma – upfront radiosurgery - p. 215 72. 53. Jugular/clival paraganglioma – delayed postembolization, multisession radiosurgery for growing residual - p. 219 73. SECTION 11. Foramen Magnum/Clivus Region - p. 222 74. Introduction - p. 223 75. 54. Foramen magnum meningioma – upfront radiosurgery - p. 225 76. 55. Foramen magnum/petroclival meningioma – immediate postoperative radiosurgery for residual - p. 229 77. 56. Occipital condyle/clivus/C1 vertebra metastasis – upfront stereotactic body radiation therapy - p. 233 78. SECTION 12. Major Sinuses - p. 236 79. Introduction - p. 237 80. 57. Superior sagittal/transverse sinuses meningioma – immediate postoperative, staged-volume radiosurgery for residual/delayed postoperative radiosurgery for growing residual - p. 239 81. 58. Superior sagittal sinus meningioma – delayed postoperative, multisession radiosurgery for growing residual - p. 243 82. 59. Superior sagittal sinus meningioma – immediate postoperative radiosurgery for residual - p. 247 83. 60. Torcular/tentorial meningioma – upfront radiosurgery - p. 251 84. 61. Transverse sinus dural arteriovenous fistula – upfro nt, preembolization radiosurgery - p. 253 85. 62. Tentorial dural arteriovenous fistula – upfront radiosurgery - p. 257 86. Index - p. 261
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.
1. Introduction - p. 1 2. 1. Stereotactic radiosurgery machines - p. 3 3. 2. Fundamentals of radiobiology for radiosurgery - p. 7 4. 3. Stereotactic radiosurgery/radiotherapy with particle therapy - p. 9 5. 4. Dose tolerances of normal tissues in skull base radiosurgery - p. 13 6. SECTION 2. Olfactory Groove/Planum Sphenoidale/Paranasal Region - p. 16 7. Introduction - p. 17 8. 5. Esthesioneuroblastoma – delayed postoperative radiosurgery for recurrence at short-term - p. 19 9. 6. Esthesioneuroblastoma – delayed postoperative radiosurgery for recurrence at long-term - p. 23 10. 7. Olfactory groove meningioma – upfront radiosurgery - p. 27 11. 8. Planum sphenoidale meningioma – upfront radiosurgery - p. 31 12. 9. Planum sphenoidale/orbital roof meningioma – delayed postoperative radiosurgery for recurrence - p. 35 13. 10. Paranasal sinus melanoma – definitive stereotactic body radiation therapy - p. 39 14. SECTION 3. Sellar/Suprasellar/Parasellar Region – Pituitary Adenoma - p. 42 15. Introduction - p. 43 16. 11. Null cell – delayed postoperative radiosurgery for growing intracavernous residual - p. 45 17. 12. Null cell – delayed postoperative radiosurgery for growing perioptic residual - p. 49 18. 13. ACTH secreting – delayed postoperative radiosurger y of gland for recurrent pathology-negative cushing disease - p. 53 19. 14. Growth hormone secreting – immediate postoperative radiosurgery for residual - p. 57 20. 15. Prolactinoma – immediate postoperative radiosurgery for residual - p. 61 21. SECTION 4. Sellar/Suprasellar Region – Other Than Pituitary Adenoma - p. 64 22. Introduction - p. 65 23. 16. Craniopharyngioma – delayed postoperative radiosurgery for recurrence - p. 67 24. 17. Tuberculum sella meningioma – upfront radiosurgery - p. 71 25. 18. Suprasellar meningioma – immediate postoperative radiosurgery for residual - p. 75 26. 19. Suprasellar non-small cell lung carcinoma metastasis – upfront radiosurgery - p. 79 27. SECTION 5. Parasellar Space/Cavernous Sinus Region - p. 82 28. Introduction - p. 83 29. 20. Trigeminal schwannoma – upfront radiosurgery - p. 85 30. 21. Trigeminal schwannoma – upfront, staged-volume radiosurgery - p. 89 31. 22. Cavernous sinus meningioma – upfront radiosurgery - p. 93 32. 23. Cavernous sinus meningioma – immediate postoperative radiosurgery for perioptic residual - p. 97 33. 24. Cavernous sinus meningioma – immediate postoperative radiosurgery for residual tumor after repeat resection - p. 101 34. SECTION 6. Clivus/Petroclival Junction - p. 104 35. Introduction - p. 105 36. 25. Chondrosarcoma – definitive radiosurgery after subtotal resections - p. 107 37. 26. Chordoma – immediate postoperative/post-proton therapy radiosurgery for residual disease - p. 111 38. 27. Cavernous sinus/petroclival meningioma – immediate postoperative radiosurgery for residual/postoperative radiosurgery for recurrence - p. 115 39. 28. Chondrosarcoma/trigeminal neuralgia – upfront, multisession radiosurgery/postoperative radiosurger y for trigeminal neuralgia - p. 119 40. SECTION 7. Cerebellopontine Angle Region – Other Than Vestibular Schwannoma - p. 122 41. Introduction - p. 123 42. 29. Petrous apex meningioma – upfront radiosurgery - p. 125 43. 30. Sphenopetroclival meningioma – delayed postoperative radiosurgery for growing residual - p. 129 44. 31. Petrous ridge/sigmoid sinus meningioma – upfront radiosurgery - p. 133 45. 32. Petrosal surface/sigmoid sinus meningioma – delayed postoperative multisession radiosurgery for growing residual - p. 137 46. 33. Endolymphatic sac tumor – immediate postoperative radiosurgery of surgical bed - p. 141 47. 34. Cisternal trigeminal schwannoma – upfront radiosurgery - p. 145 48. 35. Trochlear schwannoma – upfront radiosurgery - p. 147 49. SECTION 8. Internal Auditory Canal/Cerebellopontine Angle Region – Vestibular Schwannoma and Facial Schwannoma - p. 148 50. Introduction - p. 149 51. 36. Medium vestibular schwannoma without hearing deficit – upfront radiosurgery - p. 151 52. 37. Medium vestibular schwannoma with hearing deficit – upfront radiosurgery - p. 157 53. 38. Large vestibular schwannoma – immediate postoperative radiosurgery for residual - p. 161 54. 39. Large vestibular schwannoma – delayed postoperative radiosurgery for growing residual - p. 165 55. 40. Small vestibular schwannoma with hearing deficit – upfront radiosurgery - p. 169 56. 41. Small facial schwannoma with hearing deficit – upfront radiosurgery - p. 175 57. SECTION 9. Trigeminal Neuralgia - p. 178 58. Introduction - p. 179 59. 42. Trigeminal neuralgia due to microvascular conflict – upfront radiosurgery - p. 181 60. 43. Idiopathic trigeminal neuralgia – upfront radiosurgery - p. 183 61. 44. Trigeminal neuralgia due to trigeminal schwannoma – upfront radiosurgery - p. 185 62. 45. Trigeminal neuralgia due to petroclival meningioma – upfront radiosurgery - p. 187 63. SECTION 10. Jugular Foramen Region - p. 188 64. Introduction - p. 189 65. 46. Capillary hemangioma – postoperative radiosurgery for residual tumor - p. 191 66. 47. Jugular foramen/sigmoid sinus meningioma – postoperative radiosurgery for residual tumor - p. 195 67. 48. Jugular foramen meningioma – upfront radiosurgery - p. 199 68. 49. Jugular paraganglioma – postoperative radiosurgery for residual tumor - p. 203 69. 50. Jugular paraganglioma – upfront radiosurgery - p. 207 70. 51. Vagal schwannoma – postoperative radiosurgery for residual tumor - p. 211 71. 52. Jugular foramen schwannoma – upfront radiosurgery - p. 215 72. 53. Jugular/clival paraganglioma – delayed postembolization, multisession radiosurgery for growing residual - p. 219 73. SECTION 11. Foramen Magnum/Clivus Region - p. 222 74. Introduction - p. 223 75. 54. Foramen magnum meningioma – upfront radiosurgery - p. 225 76. 55. Foramen magnum/petroclival meningioma – immediate postoperative radiosurgery for residual - p. 229 77. 56. Occipital condyle/clivus/C1 vertebra metastasis – upfront stereotactic body radiation therapy - p. 233 78. SECTION 12. Major Sinuses - p. 236 79. Introduction - p. 237 80. 57. Superior sagittal/transverse sinuses meningioma – immediate postoperative, staged-volume radiosurgery for residual/delayed postoperative radiosurgery for growing residual - p. 239 81. 58. Superior sagittal sinus meningioma – delayed postoperative, multisession radiosurgery for growing residual - p. 243 82. 59. Superior sagittal sinus meningioma – immediate postoperative radiosurgery for residual - p. 247 83. 60. Torcular/tentorial meningioma – upfront radiosurgery - p. 251 84. 61. Transverse sinus dural arteriovenous fistula – upfro nt, preembolization radiosurgery - p. 253 85. 62. Tentorial dural arteriovenous fistula – upfront radiosurgery - p. 257 86. Index - p. 261
