Department of Stereotactic and Radiation Neurosurgery, Na Homolce Hospital, Prague, Czechia,
Department of Radiology, Na Homolce Hospital, Prague, Czechia.
Stereotact Funct Neurosurg. 2021;99(5):381-386. doi: 10.1159/000513956. Epub 2021 Mar 17.
A series of 3 patients (35-60 years old) with bleeding distal aneurysm not associated with AVM who underwent radiosurgery by gamma knife are reported. One isocentre centralized over the aneurysm was used; peripheral dose 24-28.8 Gy was applied. Control angiography 20-36 months after gamma knife surgery (GKS) demonstrated obliteration of both the aneurysm and the feeding artery, without deterioration of the neurological symptoms. Our case series implies that GKS might serve as a safe mini-invasive technique in the treatment of selected distal aneurysms.
报告了 3 例（35-60 岁）与动静脉畸形无关的出血性远端动脉瘤患者，他们接受了伽玛刀放射外科手术。使用了一个中心点位于动脉瘤上的等中心点；应用外周剂量 24-28.8 Gy。伽玛刀手术后 20-36 个月的血管造影控制显示动脉瘤和供血动脉均已闭塞，且神经症状无恶化。我们的病例系列表明，伽玛刀可能是一种安全的微创技术，适用于治疗选定的远端动脉瘤。
