SOLVED566

46-year-old male patient presents to his doctor’s office with new onset symptoms of hearing loss on the right side, tinnitus, headache, and balance problems MRI showed an enhancing mass in the left cerebellopontine (CP) angle cistern and left internal auditory canal. The mass measured 2.8 cm in length with the left CP angle cistern component measuring 1.6 cm in transverse diameter. Due to the complexity of the mass location, the patient opted to have Gamma Knife Surgery. The patient was taken to the gamma knife suite, and after some sedation, the Leksell stereotactic frame was applied to the head and attached. Then the localizing frame was applied, and the patient was taken to the MR suite where a volume acquisition MRI with gadolinium was obtained. All this information was transferred to the working station in the gamma knife area where all the images that revealed the mass were viewed. After entering the skull measurements, dose planning began by applying multiple shots to conform to the shape of the mass. This required complex planning in order to minimize the amount of radiation to the cranial nerves and the brain stem. After the dose plan was achieved, the patient was taken
SCIENCE
HEALTH SCIENCE
NURSING

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