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Gamma knife for Paediatric patients less than 12 years- The AIIMS experience

Gamma knife for Paediatric patients less than 12 years- The AIIMS experience. Dr Deepak Agrawal Additional Prof, Neurosurgery & GK AIIMS, New Delhi. Introduction. Radiation therapy may have deleterious effects on the developing brain.

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Gamma knife for Paediatric patients less than 12 years- The AIIMS experience

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  1. Gamma knife for Paediatric patients less than 12 years- The AIIMS experience Dr Deepak Agrawal Additional Prof, Neurosurgery & GK AIIMS, New Delhi

  2. Introduction • Radiation therapy may have deleterious effects on the developing brain. • Stereotactic radiosurgery provides a high level of protection to normal brain and can be given in children as small as 4 years

  3. Aims & Objectives • To review our experience of Gamma Knife radiosurgery in children less than 12 years of age

  4. Materials & Methods • Retrospective chart review over 4 years (Jan 2011- September 2015) • Children (≤12 years) who underwent gamma knife radiosurgery • Demographic data, diagnosis and whether gamma knife was done in local or general anaesthesia.

  5. Results • A total of 41 children underwent gamma knife radiosurgery in the study period. • The mean age was 9.5 (range 4-11) with the male: female ratio of 2.4:1.

  6. RESULTS • The most common indication was AVM (n= 26) followed by tumours (n=15)..

  7. RESULTS • All children except two were done under local anaesthesia

  8. CONCLUSIONS • Gamma Knife radiosurgery offers a compelling alternative to standard radiation therapy in children and may be especially useful in vascular malformations like AVM’s which are not amenable to surgery or embolization. • In addition as our experience shows that more than 95% of children can be given Gamma Knife under local anaesthesia

  9. Thank You • drdeepak@gmail.com

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