Az Intracerebralis cavernomák sugársebészete - Hol tart ma a világ?

Translated title of the contribution: Radiosurgery of intracerebral cavernomas - Current international trends

Gábor Nagy, A. Andras Kemeny, Ottó Major, Loránd Eross, Péter Várady, Géza Mezey, Imre Fedorcsák, László Bognár

Research output: Contribution to journalReview article

1 Citation (Scopus)

Abstract

Although still a controversial management option, radiosurgery of intracranial cavemomas has become increasingly popular world-wide during the last decade. Microsurgery is a safe and effective treatment for symptomatic hemispheric cavemomas. However, the indication for microsurgical resection of deep eloquent cavemomas is relatively limited even in experienced hands. The importance of radiosurgery has recently been appreciated in parallel with increasing positive experiences both in terms of effectiveness and safety, especially for cases high risk for surgical resection, in the brainstem, thalamus and basal ganglia. While radiosurgery was earlier indicated mainly for surgically inaccessible lesions that had bled multiple times, a more proactive policy has recently become more accepted. In our opinion preventive treatment with the low morbidity radiosurgery serves the patients' interest especially for deep eloquent lesions that had bled not more than once, due to the cumulative morbidity of repeated hemorrhages. Despite our increasing knowledge on natural history, there is currently no available treatment algorithm for cavemomas. Arguments for all three treatment modalities (observation, microsurgery and radiosurgery) are established, but their indication criteria are yet to be defined. It is time to organize a prospective population based data collection in Hungary, which appears to be the most realistic way to clarify indication criteria.

Original languageHungarian
Pages (from-to)229-242
Number of pages14
JournalIdeggyogyaszati szemle
Volume68
Issue number7-8
DOIs
Publication statusPublished - Jul 30 2015

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ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

Cite this

Nagy, G., Kemeny, A. A., Major, O., Eross, L., Várady, P., Mezey, G., Fedorcsák, I., & Bognár, L. (2015). Az Intracerebralis cavernomák sugársebészete - Hol tart ma a világ? Ideggyogyaszati szemle, 68(7-8), 229-242. https://doi.org/10.18071/isz.68.0229