Brain tumor Gamma Knife Low Grade Glioma Radiosurgery

Gamma Knife Radiosurgery in Low Grade Glioma, decrease in T2 High Signal Volume

Dr M Abid Saleem.Dr M Abid Saleem. February 28, 2012



This, 35 years old man  has presented with  tonic clonic fits with loss of consciousness and sphincter control since five years, responded well to anti-epileptic medicines for three years. Progression in intensity and frequency of the tonic clonic fits observed in last two years, worst since one month. He also presented weakness of left lower limb since one month.Clinical examination has revealed left lower limb monoparesis grade 4/5.
MRI brain with contrast revealed  non enhancing mass in the right parietal para falcine region over motor strip with high T2 signals.  MR Spectroscopy revealed neoplastic activity within the lesion. He had Gamma Knife Radiosurgery with following prescription.
Target
                Location
           Prescription
Volume
A
Right parietal Glioma
       12 Gy @ 50%
 17.4 cm³


Low Grade Glioma: Follow up at 3 months shows about 25 % decrease in T2 high signal volume.
Pt. is clinically in static condition with fits controlled on medicine.



Dr. Muhammed Abid Saleem graduated from Rawalpindi Medical College. He has been awarded OV Jooma Gold Medal by the Pakistan Society of Neurosurgery for his pioneering work in neuroendoscopy at JPMC Karachi. He is currently working as Consultant Neurosurgeon. Head of Department. Dow Gamma Knife Radiosurgery. Dow University of Health Sciences.(DUHS). Karachi. Previously he worked as Director Gamma Knife Radiosurgery at Neurospinal & Cancer Care Institute of Pakistan for 13 years(2008-2021). Dr. Abid has several publications in international journals and has presented more than 50 papers at various conferences all over Pakistan and at major international conferences in Europe and North America. Dow Gamma knife Radiosurgery Center. DUHS.Ojha campus. Karachi.Pakistan. Cell.0092 3323414304 abid.saleem@duhs.edu.pk
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