[Radiosurgery for neurosurgical diseases (by the 20th anniversary of neuroradiosurgery in Russia)].

BACKGROUND

Ionizing radiation and radiotherapy/radiosurgery are widely used in modern medicine. Stereotactic approach and new irradiation techniques have enabled radiosurgical treatment with high precision and conformity. This significantly expanded the indications for radiotherapy in neurosurgical patients.

OBJECTIVE

To present more than 42 000 patients were treated at the first Russian center for stereotactic radiotherapy and radiosurgery at the Burdenko Neurosurgical Center over the past 20 years.

MATERIAL AND

METHODS

Over 20 years, we have used linear accelerators and GammaKnife system for various CNS diseases.

RESULTS AND

CONCLUSION

Stereotactic radiotherapy and radiosurgery have been shown to be highly effective treatments with minimal complications and adverse reactions for meningiomas, neurinomas, glomus tumors, hemangioblastomas, pituitary adenomas, craniopharyngiomas, pilocytic astrocytomas, recurrent high-grade gliomas, secondary metastatic tumors and melanoma; AVM and dural fistula; trigeminal neuralgia, and other diseases with high socioeconomic impacts. These results indicate the role of stereotactic irradiation in the treatment of neurosurgical patients today and allow for revision of existing neurosurgical treatment standards.