Brain stereotactic radiosurgery (Gamma Knife) in benign brain tumor (program ID: 273564)

University Hospital RWTH Aachen

location_on Aachen, Germany
8.9/10 from 41 Votes
Specialized hospital
Georg Neuloh

Head Physician
Dr. med.

Georg Neuloh

Specialized in: oncology

Gamma Knife Center

The program includes:

  • Initial presentation in the clinic
  • clinical history taking
  • review of medical records
  • physical examination
  • laboratory tests:
    • complete blood count
    • general urine analysis
    • biochemical analysis of blood
    • inflammation indicators (CRP, ESR)
    • indicators of blood coagulation
    • TSH, fT3, fT4
  • neurological examination
  • CT/MRI scan of the head
  • stereotactic radiosurgery
  • nursing services
  • consultations of related specialists
  • treatment by head physician and leading experts
  • explanation of individual treatment plan

How program is carried out

During the first visit, the physician will conduct a clinical examination and go through the results of previous laboratory tests and instrumental examinations. After that, you will undergo an additional examination, including complete blood count, laboratory assessment of liver and kidney function, and neurological tests. This will be followed by MRI/CT treatment planning. Before making the MRI/CT scan, a stereotaxic frame will be fixed on your head. It is a lightweight non-metallic mesh that prevents the head from moving during the preliminary tomography and subsequent treatment with the Gamma Knife. It also allows physicians to determine the location of the benign brain tumor accurately. Based on the results of the diagnostic MRI/CT scan, physicians will develop an individual program of Gamma Knife therapy.

Gamma Knife treatment is carried out as the day hospital procedure, without mandatory admission to the hospital. You will be placed on a special couch with the already familiar stereotaxic head frame (this time it is used for precise focusing of the Gamma Knife beam). After that, the couch will move under the arch of the Gamma Knife device.

The procedure is completely painless. During the session, you will stay under the constant supervision of the medical personnel. If necessary, you will be able to communicate through the built-in microphone. The duration of the procedure is from 15 to 60 minutes, depending on the location and size of the benign brain tumor.

After completing the procedure, the physician will remove the stereotaxic head frame and assess your general condition.

After the completion of the Gamma Knife treatment, you will receive the medical report with detailed recommendations regarding further follow-up. You can leave the hospital on the day of your procedure. In the future, you can contact the physician to plan additional treatment, if necessary.

Required documents:

  • Medical records
  • Brain MRI/CT scan (not older than 3 months)
Type of program :
Expected duration of the program:

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About the department

The Gamma Knife Center University Hospital RWTH Aachen specializes in cancer treatment. The medical facility was founded in July 1998 and currently has the status of one of the most respected and experienced in the field of its specialization. The patients are treated in close collaboration with experts in neurosurgery and nuclear medicine. For all the years of their clinical practice, the center's doctors have cured thousands of patients with cancer pathologies of varying severity. The department is headed by Dr. med. Georg Neuloh.

The researches show that the use of Gamma Knife in 90% of cases gives satisfactory results. The radiosurgical intervention in the treatment of meningioma is considered successful in case of cessation of growth or reduction of the tumor, which occurs during the examinations in the course of treatment. The recent examinations also show that Gamma Knife therapy in multiple (several) metastases leads to similar survival rates as for single metastases, which could only be treated using craniotomy, namely surgical removal. Radiosurgery does not require large expenses in comparison with craniotomy and in comparison with the costs due to complications after surgery, Gamma Knife radiosurgery is an ideal method for the treatment of most intracranial metastases.

The first stage of treatment is a thorough diagnostics and the development of an optimal treatment plan. Prior to the procedure, the patient is placed on a special couch with a fixed stereotactic frame. Once the procedure has started, the couch will move to the dome-shaped section of the device. During the session, the patient is awake and can communicate with the operator of the Gamma Knife via an audio channel. The treatment is painless. During the treatment, the patient is under constant video and audio control. Depending on the volume of the pathological neoplasm, as well as its size and shape, the treatment can last from a few minutes to an hour or more.

After the treatment completion, the doctor will remove the stereotactic frame from the patient's head. In some patients, small swelling of soft tissues may be observed at the attachment point of the frame. Minor headache is also possible. Depending on the patient's condition, he remains in the hospital or may go home on the day of the procedure. The treatment effect will appear over time. When the effect of radiation on the tumor causes the cessation of its further growth, the effect will be noticeable within a few weeks or months. In order to monitor the treatment effectiveness, such examinations as MRI, CT or angiography will be required.

Gamma Knife therapy is effective for the following pathologies:

  • Brain tumors
    • Meningiomas
    • Pituitary adenoma
    • Acoustic neuroma (vestibular schwannoma)
    • Craniopharyngioma 
    • Gliomas
    • Chordomas
    • Neuromas
    • Pinealomas
    • Germinomas
    • Hemangioblastomas
    • Hemangiopericytomas
    • Glomus tumors
    • Brain metastases
  • Vascular brain diseases (for example, arteriovenous malformations, cavernomas, hemangiomas)
  • Trigeminal neuralgia
  • Other diseases

Photo of the doctor: (c) Uniklinik RWTH Aachen

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