Intracranial Metastatic Neuroblastoma Treated with Gamma Knife Stereotactic Radiosurgery: Report of Two Novel Cases

Intracranial metastasis of neuroblastoma (IMN) is associated with poor survival. No curative therapy for the treatment of IMN currently exists. Unfractionated radiotherapy may be beneficial in the treatment of IMN given the known radiosensitivity of neuroblastoma as well as its proclivity to metasta...

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Main Authors: Nathan C. Rowland, Jennifer Andrews, Daxa Patel, David V. LaBorde, Adam Nowlan, Bradley George, Claire Mazewski, Andrew Reisner, Howard M. Katzenstein
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Neurological Medicine
Online Access:http://dx.doi.org/10.1155/2012/690548
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author Nathan C. Rowland
Jennifer Andrews
Daxa Patel
David V. LaBorde
Adam Nowlan
Bradley George
Claire Mazewski
Andrew Reisner
Howard M. Katzenstein
author_facet Nathan C. Rowland
Jennifer Andrews
Daxa Patel
David V. LaBorde
Adam Nowlan
Bradley George
Claire Mazewski
Andrew Reisner
Howard M. Katzenstein
author_sort Nathan C. Rowland
collection DOAJ
description Intracranial metastasis of neuroblastoma (IMN) is associated with poor survival. No curative therapy for the treatment of IMN currently exists. Unfractionated radiotherapy may be beneficial in the treatment of IMN given the known radiosensitivity of neuroblastoma as well as its proclivity to metastasize as discrete lesions. We present two patients with IMN treated with Gamma Knife stereotactic radiosurgery (SRS). Single-fraction radiotherapy yielded temporary reduction of tumor burden and stability of disease in both patients. SRS may be a useful palliative tool in the treatment of IMN and expands the overall treatment options for this disease.
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issn 2090-6668
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language English
publishDate 2012-01-01
publisher Wiley
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series Case Reports in Neurological Medicine
spelling doaj-art-7302e2a2c0ea4c5ba3bcb7a68d6641392025-02-03T01:26:30ZengWileyCase Reports in Neurological Medicine2090-66682090-66762012-01-01201210.1155/2012/690548690548Intracranial Metastatic Neuroblastoma Treated with Gamma Knife Stereotactic Radiosurgery: Report of Two Novel CasesNathan C. Rowland0Jennifer Andrews1Daxa Patel2David V. LaBorde3Adam Nowlan4Bradley George5Claire Mazewski6Andrew Reisner7Howard M. Katzenstein8Department of Neurological Surgery, University of California, San Francisco, 505 Parnassus Avenue, Room 779 M, San Francisco, CA 94143-0112, USAAflac Cancer Center, Department of Pediatrics, Children's Healthcare of Atlanta, 1405 Clifton Road NE, Third Floor, Atlanta, GA 30322, USADivision of Neurolosurgery, University of Alabama at Birmingham, 510 Twentieth Street South, 1060 Faculty Office Tower, Birmingham, AL 35294-3410, USADepartment of Neurosurgery, Emory University School of Medicine, 1365 Clifton Road NE, Building B, Suite 2200, Atlanta, GA 30322, USADepartment of Radiation Oncology, Piedmont Hospital, 1968 Peachtree Road NW, Atlanta, GA 30309, USAAflac Cancer Center, Department of Pediatrics, Children's Healthcare of Atlanta, 1405 Clifton Road NE, Third Floor, Atlanta, GA 30322, USAAflac Cancer Center, Department of Pediatrics, Children's Healthcare of Atlanta, 1405 Clifton Road NE, Third Floor, Atlanta, GA 30322, USADepartment of Neurosurgery, Emory University School of Medicine, 1365 Clifton Road NE, Building B, Suite 2200, Atlanta, GA 30322, USAAflac Cancer Center, Department of Pediatrics, Children's Healthcare of Atlanta, 1405 Clifton Road NE, Third Floor, Atlanta, GA 30322, USAIntracranial metastasis of neuroblastoma (IMN) is associated with poor survival. No curative therapy for the treatment of IMN currently exists. Unfractionated radiotherapy may be beneficial in the treatment of IMN given the known radiosensitivity of neuroblastoma as well as its proclivity to metastasize as discrete lesions. We present two patients with IMN treated with Gamma Knife stereotactic radiosurgery (SRS). Single-fraction radiotherapy yielded temporary reduction of tumor burden and stability of disease in both patients. SRS may be a useful palliative tool in the treatment of IMN and expands the overall treatment options for this disease.http://dx.doi.org/10.1155/2012/690548
spellingShingle Nathan C. Rowland
Jennifer Andrews
Daxa Patel
David V. LaBorde
Adam Nowlan
Bradley George
Claire Mazewski
Andrew Reisner
Howard M. Katzenstein
Intracranial Metastatic Neuroblastoma Treated with Gamma Knife Stereotactic Radiosurgery: Report of Two Novel Cases
Case Reports in Neurological Medicine
title Intracranial Metastatic Neuroblastoma Treated with Gamma Knife Stereotactic Radiosurgery: Report of Two Novel Cases
title_full Intracranial Metastatic Neuroblastoma Treated with Gamma Knife Stereotactic Radiosurgery: Report of Two Novel Cases
title_fullStr Intracranial Metastatic Neuroblastoma Treated with Gamma Knife Stereotactic Radiosurgery: Report of Two Novel Cases
title_full_unstemmed Intracranial Metastatic Neuroblastoma Treated with Gamma Knife Stereotactic Radiosurgery: Report of Two Novel Cases
title_short Intracranial Metastatic Neuroblastoma Treated with Gamma Knife Stereotactic Radiosurgery: Report of Two Novel Cases
title_sort intracranial metastatic neuroblastoma treated with gamma knife stereotactic radiosurgery report of two novel cases
url http://dx.doi.org/10.1155/2012/690548
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