Dr. M Abid Saleem.Gamma Knife Radiosurgery Center. Dow University Hospital.Ojha Campus. Karachi.

ISRS CNS Summit Geneva (4-5 June 2025).

noreply@blogger.com (Dr M Abid Saleem.) — Sun, 15 Jun 2025 08:54:00 +0000

Thrilled to have taken part in the inaugural International Stereotactic Radiosurgery Society (ISRS) CNS Summit in Geneva(4-5 JUNE 2025), a truly standout event for the radiosurgery community. Seasoned experts and eager learners came together for dynamic, multidisciplinary sessions, hands-on workshops, and state-of-the-art presentations covering the full spectrum of radiosurgery platforms and techniques.

Grateful for the lively discussions and new connections.I’m leaving inspired, better informed, and even more committed to advancing Gamma Knife Stereotactic Radiosurgery in Pakistan.

noreply@blogger.com (Dr M Abid Saleem.) — Mon, 12 May 2025 06:29:00 +0000

What happens when vision meets technology?

Prof. Saeed Quraishy’s bold leap brings three world‑class systems for cancer diagnosis and treatment to Pakistan.”

• Elekta Gamma Knife ICON

• Elekta Unity MR‑Linac

• Next‑generation PET/CT scanner

State-of-the art Dow Comprehensive Cancer Center at Ojha campus.

Proud to share a short video celebrating the visionary leadership of Prof. Saeed Quraishy and the successful delivery of several turnkey projects by Ms. ALLMED Solutions. Together, these modalities usher in a new era of precision imaging ,adaptive radiotherapy and radiosurgery, along with latest chemotherapy facilities , under one roof, elevating the standard of care for every patient we serve. #PrecisionMedicine hashtag#GammaKnife hashtag#MRLinac hashtag#PETCT hashtag#OncologyInnovation

Gamma Knife Radiosurgery for Ciliary Body Melanoma.

noreply@blogger.com (Dr M Abid Saleem.) — Sun, 04 May 2025 18:03:00 +0000

Saved an eye today! 👁️✨

Treated a 60-year-old patient’s ciliary body melanoma with the Gamma Knife—one session, no scalpel, vision preserved.

Couldn’t have done it without the close collaboration of the Dow Ophthalmology Department and the LRBT team—huge thanks to everyone involved.

Feel free to share—people need to know surgery isn’t the only option!

#GammaKnife #EyeCancer #DowOphthalmology #LRBT

noreply@blogger.com (Dr M Abid Saleem.) — Mon, 28 Apr 2025 08:53:00 +0000

Gamma Knife Radiosurgery for Neurofibromatosis-II

20 years male from Afghanistan, underwent excision of right CPA SOL in December 13, 2023 insertion of VP shunt in November 27, 2023 presented with complains headache for 6 months, difficulty in walking for 2 & ½ months & loss of right hearing for 1 & ½ months. Patient has no history of radiation & chemotherapy. On clinical examination patient is on wheel chair, right facial palsy, loss of right hearing & ataxia. MRI brain with contrast dated October 29, 2023 shows extra axial enhancing mass lesions seen in bilateral CPA with extension into intra canalicular component suggestive of neurofibromatosis-2.

Follow up Comparative Study after 6months:

Patient visited the gamma knife center for first routine follow up presented with good resolved clinical symptoms.Recent MRI brain with contrast dated June 29, 2024 shows significant regression in the targeted Right lesion and sizeable regression in left side when compared with previous MRI brain with contrast dated October 29, 2023 consistent with good ongoing control of lesion.

noreply@blogger.com (Dr M Abid Saleem.) — Tue, 22 Apr 2025 07:21:00 +0000

Gamma Knife Radiosurgery for Left Acoustic Schwannoma:

Case Summary:

42 years male, presented with complaints of headache, vertigo, imbalance & slightly decreased left hearing for 1 year. Patient has no history of surgery, chemotherapy and radiation therapy. On clinical examination, patient has slightly decreased left hearing & ataxia. MRI brain with contrast dated May 16, 2023 shows local lesion appearing heterogeneously hyper intense on T2 & flair images noted in left acoustic schwannoma. Audiometry attached. Risks of GKSRS have been explained. Written and valid consent obtained to proceed.

Follow up Comparative Study dated April 2025:

Patient visited the GKSRS center for the first follow up presented with recent MRI Brain with contrast shows significant reduction in targeted SOL when compared with previous MRI Brain with contrast , consistent with ongoing good tumor control.

noreply@blogger.com (Dr M Abid Saleem.) — Tue, 22 Apr 2025 07:20:00 +0000

Gamma Knife Radiosurgery For Astrocytoma WHO Grade-II:

Case Summary:

38 years of male, underwent craniotomy for excision of SOL in August 29, 2023 presented with the complaints of fits with loss of consciousness since August 2023 & weakness in left limbs after surgery. Patient has no history of radiation & chemotherapy. On clinical examination, patient has 4/5 power in left limbs. MRI brain with contrast dated September 10, 2023 shows abnormal signal intensity mass seen in right fronto-parietal lesion with post surgical changes. Histopathology dated September 11, 2023 shows Astrocytoma G-II. Risks of GKSRS have been explained. Written and valid consent obtained to proceed.

Follow up Comparative Study After 1 year (April 2025):

Patient consulted Gamma Knife radiosurgery center for first follow up , presented with recent MRI Brain with contrast shows almost complete resolution of targeted lesion when compared with previous MRI Brain with contrast,consistent with ongoing good response to GKSRS Therapy.

noreply@blogger.com (Dr M Abid Saleem.) — Sat, 19 Apr 2025 10:20:00 +0000

Gamma Knife Radiosurgery For Right Acoustic Schwannoma.

Case Summary:

40 years lady , presented with complaints of loss of right hearing for 3 months, numbness in tongue & face for 3 months, headache & vertigo for few days. Patient has no history of radiation & chemotherapy. On clinical examination patient has decrease touch sensation in right side of face, loss of right hearing & ataxia. MRI brain with contrast dated December 20, 2023 shows extra axial enhancing abnormal signal intensity mass seen in right CPA with bulges into porus acusticus suggestive of schwannoma. Risks of GKSRS have been explained Written and valid consent obtained to proceed.

Follow up Comparative Study April 16,2025: AFTER ONE YEAR

Patient visited the gamma knife center for the first follow up presented with recent MRI brain dated April 10,2025 shows significant reduction in targeted lesion when compared with previous MRI brain with contrast dated July 06, 2024, consistent with ongoing good control of tumor.

noreply@blogger.com (Dr M Abid Saleem.) — Wed, 27 Nov 2024 20:21:00 +0000

GAMMA KNIFE RADIOSURGERY FOR PITUITARY ADENOMA:

Case Summary:

This 49 years male from Quetta, underwent craniotomy & excision of seller SOL in March 30, 2022 presented with complaints of decrease right peripheral vision for 5 months & mild headache for few months. Patient has no history of radiation & chemotherapy. On clinical examination middle aged is sitting on the chair has right temporal field defect. MRI brain with contrast dated May 13, 2022 shows abnormal signal intensity enhancing mass lesion seen in cellar & supra cellar lesion suggestive of adenoma. Perimetry attached & shows field defect on right side.

Follow up Comparataive Study After 6 months:

Patient visisted the GKSRS centre for the first routine follow up presented with improved clinical symptoms.

Recent MRI brain with contrast shows significant reduction in the targeted SOL , consistent with ongoing tumor control.

Follow up Comparative Study After 1 year:

Patient visisted gamma knife radiosurgery centre for second routine follow up , presented with almost resolved symtoms including good reversal of right temporal field defect.

recent MRI brain with contrast dated November 25,2024 shows further good reduction in targeted SOL only small residual disease seen, with no further growth, consistent with good ongoing response to GKSRS therapy.

noreply@blogger.com (Dr M Abid Saleem.) — Tue, 26 Nov 2024 18:26:00 +0000

Gamma Knife Radiosurgery for Craniopharyngioma

Case Summary:

22 years male from Quetta, presented with complaints of headache with nausea for 5 months and blurring of vision for few days. Patient has no history of surgery, radiation & chemotherapy. On clinical examination, patient has blurred vision.

Follow up Comparative Study after 6 months:

Patient visited the gamma knife center for the first routine follow up, presented with improved symptoms and good clinical health.

Recent MRI scans dated August 16,2023 shows siginificant reduction in the targeted SOL , consistent with ongoing good response to GKSRS therapy.

Follow up Comparative Study after 1 year:

Patient consulted the GKSRS Clinic with complete resolved symptoms and good health.

Recent MRI scans dated November 25,2024 shows almost complete resolution of targeted SOL with only small residual disease , no further growth , consistenet with good ongoing tumor control.

noreply@blogger.com (Dr M Abid Saleem.) — Thu, 26 Sep 2024 08:20:00 +0000

Gamma Knife Radiosurgery for Left Paraganglioma:

32 years female, underwent retro mastoid craniectomy in August 06, 2019 by Dr Farooq Azam presented with complaints of headache for 7 years, loss of left hearing before surgery, facial palsy after surgery & double vision for 1 year. Patient has no history of radiation & chemotherapy. On clinical examination patient has loss of left hearing left facial palsy & right 6^th nerve palsy. MRI brain with contrast dated August 12, 2022 shows large enhancing lesion seen in left side of base of skull at jugular fossa with intra cranial extension & left upper cervical extension & encasement of left internal carotid artery. Histopathology dated August 20, 2019 shows para ganglioma.

Follow up Comparative Study :

Patient consulted the gamma knife center for the first routine follow up presented with recent MRI Brain with contrast dated October 2023 shows regression in the targeted lesion when compared with previous MRI Brain with contrast dated August 12, 2022 consistent with ongoing control of tumor.

noreply@blogger.com (Dr M Abid Saleem.) — Tue, 24 Sep 2024 07:59:00 +0000

Gamma Knife Radiosurgery For Left Parietal Glioma

Case Summary:

52 year lady, K/C of HTN presented with complaints of fits for 6 months & weakness in right limbs for 6 months. Patient has no history of surgery, radiation & chemotherapy. On clinical examination, patient is sitting on the chair has slightly affected working memory & right hemiparesis. MRI brain with contrast dated October 13, 2023 shows poorly enhancing intra axial abnormal signal intensity mass lesion seen in the left temporal parietal region involving the left basal ganglia.

PRE-OPERATIVE SCANS

Follow up comparative study :

In comparison to the previous scans , there is regression in the targeted SOL with post radiation changes , consistet with ongoing response to GKSRS therapy.

noreply@blogger.com (Dr M Abid Saleem.) — Thu, 09 May 2024 06:23:00 +0000

Gamma Knife Radiosurgery for Brain Stem Glioma:

Case Summary:

This 27 year male from Multan, presented with complaints of facial asymmetry 8 months ago, weakness in left limbs for 4 months & difficulty in walking for 4 months & difficulty in swallowing for 2 weeks. Patient has no history of surgery, radiation & chemotherapy. On clinical examination young is sitting on chair comfortably & oriented has right facial palsy G-II & 4/5 power in left limbs. MRI brain with contrast dated August 20, 2022 shows diffuse non enhancing expansile mass lesion seen involving the brain stem, centered in the pons causing indentation of 4^th ventricle & involvement of the cerebellar peduncles. MRS choline peak with in the lesion suggestive of glioma. Risks of GKSRS have been explained. Written and valid consent obtained to proceed.

BEFORE TREATMENT

Follow-up Comparative Study 07-05-2024:

Patient consulted the gamma knife center for second routine follow up presented with recent MRI brain with contrast dated May 06,2024 shows good resolution of targeted lesion in T2 hyper intensity when compared with previous MRI brain with contrast dated April 04, 2023 consistent with ongoing control.

AFTER TREATMENT

noreply@blogger.com (Dr M Abid Saleem.) — Fri, 29 Mar 2024 09:17:00 +0000

Gamma Knife Radiosurgery for Pituitary Adenoma.

Case Summary:

50 years male from Baluchistan, underwent trans sphenoidal excision of adenoma in March 19, 2022 presented with complaints of progressive loss of right vision for 1 year & decrease left vision for 1 year. Patient has no history of chemotherapy and radiation therapy. On clinical examination pt. is blind from right eye with left temporal defect. MRI brain with contrast dated January 06, 2023 shows heterogeneous enhancing abnormal signal intensity mass lesion seen in sellar & supra sellar region suggestive of adenoma. Histopathology dated April 05, 2022 shows adenoma. Perimetry dated January 05, 2023 shows left temporal defect. Hormones profile within normal range. Risks of GKSRS have been explained. Written and valid consent obtained to proceed.

Follow up Comparative Study December 15, 2023:

Patient visited the gamma knife center for the first follow up presented with recent MRI brain with contrast dated December 14, 2023 shows further regression in the size of tumor from 4.6cc to 3.6 cc when compared with previous MRI brain with contrast dated July 04, 2023, consistent with good response to Gamma Knife Therapy

noreply@blogger.com (Dr M Abid Saleem.) — Fri, 29 Mar 2024 09:14:00 +0000

Gamma Knife Radiosurgery for Craniopharyngioma.

Case Summary:

9 years old boy from Karachi, underwent insertion of VP shunt in May 27, 2023 & revision of shunt in June 09, 2023 presented with history of headache with vomiting . Patient has no history of radiation & chemotherapy. On clinical examination patient has no obvious deficit. CT brain with contrast dated June 06, 2023 shows lobulated solid / cystic hypo dense mass seen in supra sellar / sellar region causing significant compression over 3^rd ventricle resulting dilatation of left lateral ventricle with CSF seepage suggestive of Craniopharyngioma. Risks of GKSRS have been explained. Written and valid consent obtained to proceed.

Follow up Comparative Study March 28,2024:

Patient consulted the gamma knife center for the first routine follow up presented with recent MRI Brain with contrast dated december 06,2023 shows significant reduction in the targeted lesion from 20.20cc to 8.033cc when compared with previous MRI Brain with contrast datedJune 06, 2023 ,consistent with good ongoing control of lesion.

noreply@blogger.com (Dr M Abid Saleem.) — Fri, 29 Mar 2024 09:10:00 +0000

Gamma Knife Radiosurgery for Right Occipital High Grade Glioma :

Case Summary:

40 years of male from Islamabad, underwent craniotomy for Excision of SOL in August 22, 2023 presented with the complaints of headache for 3 months & no history of visual disturbances. The patient has no history of radiation & chemotherapy. On clinical examination patient has no obvious deficit. MRI brain with contrast dated September 15, 2023 shows intra axial enhancing mass lesion seen in the right occipital region with post-surgical changes suggestive of residual high grade glioma. Histopathology dated September 01, 2023 shows malignant neoplasm (glioma). Risks of GKSRS have been explained. Written and valid consent obtained to proceed.

Follow up Comparative Study 19-01-2024:

Patient consulted the gamma knife center for the second routine follow up presented with recent MRI brain with contrast dated January 15,2024 shows almost complete resolution of the targeted lesion with post radiation changes when compared with previous MRI brain with contrast dated September 15, 2023 consistent with excellent control of lesion.

noreply@blogger.com (Dr M Abid Saleem.) — Wed, 27 Mar 2024 05:36:00 +0000

Gamma Knife Radiosurgery for CA Thyroid with Right Ventricle & Right Parietal Metastases.

Case Summary:

46 years of female from Dir, CA Thyroid underwent total thyroidectomy in June 23, 2023 presented with the complaints of headache with vomiting for few months, vertigo for 3 months & numbness in right limbs after surgery. Patient has no history of radiation & chemotherapy. On clinical examination patient has no obvious deficit. MRI brain with contrast dated August 12, 2023 shows recurrent lesion in left lobe of thyroid & metastasis lesions in right parietal lobe & right lateral ventricle suggestive of brain metastasis. Risks of GKSRS have been explained. Written and valid consent obtained to proceed.

Follow up Comparative Study January 13,2024:

Patient consulted the gamma knife center for the first follow up presented with recent MRI brain with contrast dated January 12,2024 shows good resolution of the targeted metastasis, no new growth seen when compared with previous MRI brain with contrast dated August 12, 2023,consistent with good ongoing control of tumor.

noreply@blogger.com (Dr M Abid Saleem.) — Mon, 25 Mar 2024 06:43:00 +0000

Gamma Knife Radiosurgery for Left Temporo-Parietal Glioma.

Case Summary:

23 years young male from Islamabad, presented with complaints of numbness in right limbs for 7-8 months & two episodes of LOC for 10-15 second for 8 months. Patient has no history of surgery, chemotherapy & radiation. On clinical examination young man is sitting comfortably has no obvious deficit. MRI brain dated September 26, 2022 shows re-demonstrated mass lesion noted in left temporo-parietal region with surrounding white matter edema and mass effect evident by compression of the ipsilateral lateral ventricle. MR Spectroscopy dated July 25, 2022, shows neoplastic etiology likely low grade glioma. Risks of GKSRS have been explained. Written and valid consent obtained to proceed.

Follow up Comparative Study April 11,2023:

Patient consulted the gamma knife center for the first routine follow up presented with recent MRI Brain with contrast dated April 04,2023 shows significant regression in T2 hypertensity (from 66.9 to 42.5cc) when compared with previous MRI Brain with contrast dated September 26,2022 consistent with excellent response to gamma knife therapy.

Follow up Comparative Study March 20,2024:

Patient consulted the gamma knife center for the second routine follow up presented with recent MRI Brain with contrast dated March 09,2024 shows further sizeable reduction in the targeted lesion when compared with previous MRI Brain with contrast dated April 04,2023 consistent with ongoing control of tumor.

noreply@blogger.com (Dr M Abid Saleem.) — Mon, 25 Mar 2024 06:25:00 +0000

Gamma Knife Radiosurgery for Left Temporo Parietal Low Grade Glioma:

Case Summary:

43 years lady from Haripur Hazara, presented with complaints of impairment of memory for few years & fits for 2 weeks. Patient has no history of surgery, radiation & chemotherapy. On clinical examination middle age lady has slightly affected working memory. MRI brain with contrast dated November 23, 2022 shows non enhancing abnormal signal intensity mass lesion seen in left temporal lobe insular cortex, inferior frontal lobe & part of parietal lobe suggestive of low grade glioma. MRS shows elevated choline with reduced NAA & Cr peak suggestive of neoplastic lesion. Risks of GKSRS have been explained. Written and valid consent obtained to proceed.

Follow up Comparative Study July 11,2023:

Patient visited the gamma knife center for the first follow up presented with recent MRI brain with contrast dated June 19,2023 shows interval decrease of the targeted lesion in T2 hyper intensity signal when compared with previous MRI brain with contrast dated November 23,2022 , consistent with good ongoing control of tumor.

noreply@blogger.com (Dr M Abid Saleem.) — Mon, 25 Mar 2024 06:21:00 +0000

Gamma Knife Radiosurgery for Nasal Angio Fibroma with Intra cranial Extension:

Case Summary:

14 years boy from Sanghar, underwent excision biopsy of tumor in March 26, 2022 by Dr. Imran presented with complaints of nasal blockage & nasal discharge for 1 year. The patient has no history of radiation & chemotherapy. On clinical examination boy is sitting on a chair comfortably has no obvious deficit. MRI brain & Para nasal sinuses dated January 10, 2022 shows a large infiltrating abnormally enhancing soft tissue intensity tumor is appreciated predominantly arising from the right lateral wall of naso pharynx close to the sphenopalantine fossa with extra axial intracranial extension. Histopathology dated April 08, 2022 shows nasal angiofibroma. Risks of GKSRS have been explained. Written and valid consent obtained to proceed.

Follow up comparative study dated June 14,2023 :

Patient visited the gamma knife center for the first routine follow up presented with recent MRI brain with contrast dated June 14, 2023 shows 50% regression in the targeted lesion when compared with previous MRI brain with contrast dated January 10, 2022 consistent with good ongoing control of lesion.

Follow up comparative study dated January 12,2024 :

Patient visited the gamma knife center for the second routine follow up presented with recent MRI brain with contrast dated January 11, 2024 shows further regression in the targeted lesion when compared with previous MRI brain with contrast dated June 14, 2023 consistent with good ongoing control of lesion.

noreply@blogger.com (Dr M Abid Saleem.) — Mon, 25 Mar 2024 05:29:00 +0000

Gamma Knife Radiosurgery for Left Parietal Glioma.

Case Summary:

52 years male from Karachi, K/C of D.M presented with complaint of single episodes of loss of consciousness 10 days back. The patient has no history of surgery, chemo radiation. On clinical examination middle age man is sitting on a chair comfortably has slightly affected working memory. MRI brain with contrast dated September 29, 2022 shows extra axial enhancing mass lesion seen in the left parietal region & no enhancement on post contrast study suggests of low grade glioma. Risks of GKSRS have been explained. Written and valid consent obtained to proceed.

Follow up Comparative Study 11-05-2023:

Patient visited the gamma knife center for first routine follow up presented with recent MRI brain with contrast dated May 10, 2023 shows significant regression in hyper intensity on T2WI with central necrotic changes seen when compared with previous MRI brain with contrast dated October 10, 2022 consistent with ongoing control of tumor.

noreply@blogger.com (Dr M Abid Saleem.) — Thu, 21 Mar 2024 05:24:00 +0000

Gamma Knife Radiosurgery for Pineal Region SOL.:

Case Summary:

22 years male, underwent insertion of VP shunt in November 11,2022 presented with complaints of headache, weakness in left limbs and blurring of vision for 3-4 months. Patient has no history of radiation & chemotherapy. On clinical examination young male is sitting on chair comfortably has squint and 4/5 power in left limbs. MRI brain with contrast dated November 05, 2022 shows enhancing mass seen in the midline causing compression of the aqueduct of sylvius with dilation of ventricles bilaterally. Risks of GKSRS have been explained. Written and valid consent obtained to proceed.

Follow up Comparative Study 06-04-2023:

Patient consulted the gamma knife center for the first routine follow up presented with recent MRI brain with contrast dated April 04,2023 shows good resolution of targeted lesion when compared with previous MRI brain with contrast dated November 05, 2022, excellent results in response to gamma knife therapy.

Follow up Comparative Study 25-01-2024:

Patient consulted the gamma knife center for the second routine follow up presented with recent MRI brain with contrast dated January 25,2024 shows almost complete resolution of the targeted lesion when compared with previous MRI brain with contrast dated April 04,2023, excellent results in response to gamma knife therapy.

noreply@blogger.com (Dr M Abid Saleem.) — Tue, 19 Mar 2024 06:32:00 +0000

Gamma Knife Radiosurgery for Recurrent Posterior Fossa Hemangioblastoma:

Case Summary:

This 47 year lady , diagnosed case of hemangioblastoma since 2014 underwent excision of posterior fossa SOL & insertion of VP shunt in 2014 & received cyber knife treatment 7 Gy x 3 fraction in MAY 2015 now presented with complaints of headache with vomiting & vertigo for 5 months & difficulty in walking for 1 month. Patient has no history of chemotherapy. On clinical examination middle aged lady is sitting on wheel chair comfortably has decrease both near vision & ataxia. MRI brain with contrast dated March 09, 2022 shows abnormal signal intensity enhancing mass lesion seen in posterior fossa in the region of brain stem involving the cerebellar vermis & progression in disease when compared with previous MRI brain with contrast. Histopathology dated December 16, 2014 shows hemangioblastoma. Risk of GKSRS have been explained. Written and valid consent obtained to proceed.

Follow-up Comparative Study October 03, 2022:

Patient visited the gamma knife center for first routine follow up presented with recent MRI brain with contrast dated October 01, 2022 shows good resolution of previously targeted hemangioblastoma from 27.9 to 2.8 cc when compared with previous MRI brain with contrast dated May 19, 2022 consistent with good lesion control.

noreply@blogger.com (Dr M Abid Saleem.) — Sat, 16 Mar 2024 09:13:00 +0000

Gamma Knife Radiosurgery for Pituitary Adenoma.

Case Summary:

50 years male , underwent trans sphenoidal excision of adenoma in March 19, 2022 presented with complaints of progressive loss of right vision for 1 year & decrease left vision for 1 year. Patient has no history of chemotherapy and radiation therapy. On clinical examination middle male is sitting on chair is blind from right eye & left temporal defect. MRI brain with contrast dated January 06, 2023 shows heterogeneous enhancing abnormal signal intensity mass lesion seen in sellar & supra sellar region suggestive of adenoma. Histopathology dated April 05, 2022 shows adenoma. Perimetry dated January 05, 2023 shows left temporal defect. Hormones profile within normal range. Risks of GKSRS have been explained. Written and valid consent obtained to proceed.

Follow up Comparative Study December 15, 2023:

Patient visited the gamma knife center for follow up presented with recent MRI brain with contrast dated December 14, 2023 shows further regression in the size of tumor from 4.6cc to 3.6 cc when compared with previous MRI brain with contrast dated July 04, 2023, consistent with good response to Gamma Knife Therapy.

noreply@blogger.com (Dr M Abid Saleem.) — Sat, 16 Mar 2024 09:11:00 +0000

Gamma Knife Radiosurgery for Craniopharyngioma.

Case Summary:

6 years child , underwent bilateral insertion of VP shunt in April 10, 2023 presented with history of headache for 6 months & visual symptoms before shunt now recovered. Patient has no history of radiation & chemotherapy. On clinical examination patient has no obvious deficit. MRI brain with contrast dated March 04, 2023 shows solid / cystic mass lesion supra sellar region extending superiorly indenting the floor of ventricle & inferiorly in sellar region suggestive of Craniopharyngioma. Risks of GKSRS have been explained. Written and valid consent obtained to proceed.

Follow up Comparative Study December 21,2023 ;

Patient visited the GKSRS clinic for 1st follow up presented with recent MRI Brain with contrast dated December 21,2023 shows good reduction in the targeted lesion when compared with previous MRI brain with contrast dated March 04,2023 , consistent with good ongoing regression of the lesion.

noreply@blogger.com (Dr M Abid Saleem.) — Sat, 16 Mar 2024 09:10:00 +0000

Gamma Knife Radiosurgery for Left Parietal Glioblastoma.

Case Summary:

73 years man, K/C of HTN underwent excision of SOL in 07 October 2022, presented with complaints of weakness in right limb for 4 months. Patient has no history of chemotherapy and radiation. On clinical examination old age man is sitting comfortably has 4/5 power on left limbs. MRI brain with contrast dated October 07, 2022 shows ill defined abnormal signal intensity mass is noted in left parietal lobe medially along the para falcine region with intense peripheral post contrast enhancement suggestive of glioma. Histopathology dated October 16, 2022 shows IDH wild type glioblastoma, WHO Grade 4. Risks of GKSRS have been explained. Written and valid consent obtained to proceed.

Follow up Comparative Study 31-04-2023:

Patient consulted the gamma knife center for first routine follow up presented with recent MRI brain with contrast dated March 31, 2023 shows central necrotic changes with peri lesional T2 hyper intensities when compared with previous MRI brain with contrast dated November 01, 2022 consistent with good lesion control.