Leksell Stereotactic Frame

Leksell Stereotactic Frame

 The Uses:

Movement Disorders surgery:

Parkinson`s Disease
()
Dystonia

Essential Tremor

Ischemic Tremor

Brain Cyst and Abscess drainage

Brain Tumors Biopsy

Gamma Knife Radiosurgery ( )

Overfiring Nuclei:
Thalamic VIM
Globus Pallidus Internus
Subthalamic Nucleus


Pallidotomy

Subthalamotomy

VIM Thalamic Stimulation
Pallidal Stimulation

Subthalamic Stimulation
Neural Transplantation
Thalamotomy

Thalamotomy for Tremor

Pallidotomy for
Rigidity

Dystonia

A state characterized by slow,

nonrythmic , involuntary movements
which produce abnormal, at times
bizarre, postures of the trunk and
limbs.

Dystonia
Etiology:
Idiopathic.
Metabolic (Hallervorden-Spatz disease)
Familial
Traumatic
Ischemic
Postencephalitis

Gamma Knife Radiosurgery

Benign Tumors:
Meningioma
Acoustic Neuroma
Pituitary Tumors
Low Grade Astrocytoma
Pinial Body Tumors
Craniopharyngioma
Skull Base Tumors

Metastatic Tumors:
Arterio-Venous Malformation
Trigeminal Neuralgiaeghed
Epilepsy
Movement Disorders

Before

After 2 Yrs.

Before

After 6 Months

Gamma Knife Radiosurgery for

Trigeminal Neuralgia

Etiology of TN
Idiopathic

- Vascular Compression
Tumors
Multiple Sclerosis

Amman Gamma Knife Radiosurgery

Center
Established in 1996
Our Protocol as in Pittsburgh Medical Center:
1- Elderly patients > 60
2- Unfit; For MVD
3- Failed previous MVD
Before 2008 : 25 cases were treated
Dose of irradiation: 70 - 80 Gy

Amman Gamma Knife Center

After 2008 :
Our protocol ; offering Gamma Knife therapy for
all ages and all types of diseases in addition to
the MVD.
Dose Increased to 85 Gys.
Between 2008 2011:
25 patients were treated
Ages : 38 76 years
Failure : 2 Cases

Gamma Knife Radiosurgery

Principle