Radiosurgery of the Skull Base: A Case-Based Approach

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.

Section I

1. Olfactory groove:
   1. Meningioma [Anterior fossa floor/Olfactory groove]
   2. Esthesioneuroblastoma
2. Planum sphenoidale/Tuberculum sellae:
   1. Meningioma [Tuberculum/Perioptic]
   Section II
3. Sellar/Suprasellar:
   1. Pituitary tumor [Nonfunctional, Cavernous sinus]
   2. Pituitary tumor [Prolactinoma, Cavernous sinus]
   3. Pituitary tumor [Acromegaly, Cavernous sinus]
   4. Pituitary tumor [Cushing]
   5. Pituitary tumor with chiasmal compression [Reduced dose SRS or hypofractionated]
   6. Craniopharyngioma [Adult]
   7. Craniopharyngioma [Child]
   8. Metastasis to the Sella
   9. Rathke's Cleft cyst [Recurrent]
   Section III
4. Parasellar space/Cavernous sinus:
   1. Oculomotor schwannoma
   2. Trochlear schwannoma
   3. Abducens schwannoma
   4. Trigeminal schwannoma
   5. Meningioma [Cavernous sinus, Small/Medium]
   6. Meningioma [Cavernous sinus, Large, 5-session hypofractionated]
5. Clivus:
   1. Chordoma [Clivus/Cavernous sinus]
   2. Metastasis to Meckel's cave/Clivus bone
   3. Solitary Fibrous Tumor [Clivus]
   Section IV
6. Cerebellopontine Angle
   1. Meningioma [Petroclival with diplopia]
   2. Meningioma [Petroclival with TGN, Tumor + Nerve dose plan]
   3. Meningioma [Inferior petrous ridge]
   4. Meningioma [Petrous ridge posterior to IAC]
   5. Meningioma [Cerebellopontine angle]
   6. Chondrosarcoma [Petrous ridge]
   7. Endolymphatic sac tumor
   Section V
7. Internal auditory canal:
   1. Vestibular schwannoma [4mm, Intracanalicular]
   2. Vestibular schwannoma [10mm, Lateral fundus]
   3. Vestibular schwannoma [10mm, Medial canal]
   4. Vestibular schwannoma [18mm]
   5. Vestibular schwannoma [23mm]
   6. Vestibular schwannoma [30mm]
   7. Vestibular schwannoma [After prior resection]
   8. Vestibular schwannoma [Poor hearing in the contralateral non-tumor ear]
   9. Vestibular schwannoma [Neurofibromatosis type 2]
   10. Facial schwannoma [Auditory canal]
   11. Facial schwannoma [Geniculate]
   12. Facial nerve hemangioma
   Section VI
8. Jugular foramen:
   1. Jugular foramen schwannoma
   2. Glomus tumor
   3. Meningioma [Jugular foramen]
9. Foramen magnum:
   1. Hypoglossal schwannoma
   2. Meningioma [Foramen magnum]
   Section VII
10. Miscellaneous
    1. Meningioma [Torcular]
    2. Meningioma [Transverse sinus]
    3. Meningioma [Grade 2 histology, Multiple sites]
    4. Meningioma [Neurofibromatosis type 2, Skull base]
    5. Hemangiopericytoma
    6. Adenoid cystic carcinoma
    7. Squamous Cell carcinoma [Head and neck with perineural spread]
    8. Epidermoid cyst
    9. Dural arteriovenous fistula [Transverse sinus]
    10. Dural arteriovenous fistula [Cavernous sinus, Carotid-Cavernous fistula]

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

RECENZII