Radiation Necrosis Secondary to Trigeminal Nerve TomoTherapy: A Cautionary Case Study

@inproceedings{Muacevic2015RadiationNS,
  title={Radiation Necrosis Secondary to Trigeminal Nerve TomoTherapy: A Cautionary Case Study},
  author={Alexander Muacevic and John R. Adler and Andrew J Montoure and Hasan Aqdas Zaidi and John Paul Sheehy and Andrew G. Shetter and Robert F. Spetzler},
  booktitle={Cureus},
  year={2015}
}
New radiation delivery modalities have recently challenged Gamma Knife surgery as the historic gold standard in the treatment of trigeminal neuralgia (TN). TomoTherapy, a relative newcomer, has been approved by the U.S. FDA for various intracranial pathologies but is currently off label for the treatment of TN. A 73-year-old female presented with gait instability, intermittent headaches, and confusion. She was treated with TomoTherapy for refractory TN at an outside facility, which failed to… CONTINUE READING