علاج الورم السحائي الدماغي في المرضى المسنين أو المرضى في الحالات الحرجة مع موانع الجراحة

References

• Radiosurgery may be an alternative in patients with relative or absolute contraindications for surgery and with small tumors without mass effect, although a higher grade meningioma or a different histology cannot be entirely ruled out.
• SRS has been established as an alternative therapy to surgery in well-defined cases with small tumors in elderly or critically sick patients.
• Local control of small-sized intracranial meningiomas of a diameter of 3 cm or less after SRS was comparable to Simpson Grade I resection.
• Radiosurgery should be considered as an alternative to surgery in small tumors, in specific locations, and in specific clinical situations, if tissue collection seems not mandatory.
• Radiosurgery or fractionated radiotherapy may be complementary therapies or even alternative approaches to surgery in certain situations.
• It offers long-term local control in the range of 90% after 10 years.

DOI: 10.1093/neuonc/noab150