CYBERKNIFE SYSTEM

Trigeminal Neuralgia

Case History

AGE: 67-year-old
GENDER: Male

Medical History

Severe, lancinating pain in the right trigiminal nerve, refractory to the medical treatment. Symptoms started 5 years ago, progressively worsening

Neurological Exam: No motor deficit, no sensory loss; sensory zones over right cheek and jaw

MRI Brain: No evidence of multiple sclerosis or tumor

Planning CT Images

Treatment Plan Images

Treatment Planning Highlights

Fractionation

60 Gy in 1 fraction

PTV(s) Volume

PTV, 0.01cc

Dose Distributions

  • Prescription to the 80 % isodose line
  • Max. dose 75 Gy

Collimator

Fixed 5mm

Dose Calculation Algorithm

Ray-Tracing

Treatment Delivery Information

Tracking Method

Synchrony® Skull Tracking™

Total Delivery Time

39 minutes

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Radiosurgery

Adaptive Radiotherapy

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