gamma knife guide
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GAMMA KNIFE | PATIENT TREATMENT GUIDE 1
RosE EllA BURKhARDT BRAIN TUMoR AND NEURo -oNcoloGy cENTER
Gamma Knife
Patient Treatment GuideWhat to expect from this noninvasive treatment option for certain brain tumors
and other neurological disorders
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clEvElAND clINIc NEURoloGIcAl INsTITUTE GAMMA KNIFE | PATIENT TREATMENT GUIDE 1
ceeand cini:Te Rigt cie fr care
Trug a mutidiipinar appra t are, ceeand cini peiait in te Neurgia Intitute and
Tauig caner Intitute abrate t expre a aaiabe urgia and media treatment ptin, tuenuring tat patient reeie te bet are pibe.
Cleveland Clinics neurology, neurosurgery and cancer programs
were named among the countrys best in U.S.News & World Reports
2010 Americas Best Hospitals survey. We also hold top ranking for
these programs in Ohio.
ceeand cini neurg and neururger prgram
were named amng te untr bet in U.S.News &
World Report 2010 Ameria Bet hpita ure.
In additin, we d tp ranking fr tee prgram in
oi. Tauig caner Intitute a a been named amng
te tp aner prgram natinwide and be t in oi.
Bt intitute ue piian, ientit and reear-
er fued n te tud and treatment f brain tumr.
Wie tere are man brain tumr treatment ptin,
ceeand cini experiened and expert Gamma Knife
center team ffer innatie utin fr een te mt
mpex diagne.
Would You Like a Second Opinion?
If u wud ike a end pinin frm
a ceeand cini brain tumr peiait,
we ffer eure nine media end
pinin trug ur Mcnut erie.
T earn mre abut Mcnut, peae
iit clevelandclinic.org/myconsultr a
800.223.2273, ext. 43223.
the cover: Cleveland Clinic neurologists and oncologists use advanced
aging techniques to precisely map your Gamma Knife treatment.
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clEvElAND clINIc NEURoloGIcAl INsTITUTE GAMMA KNIFE | PATIENT TREATMENT GUIDE 3
Gamma Knife radiosurgery delivers targeted radiation
to a specic location in the brain. This outpatient procedure
is nearly painless and requires no incisions.
sine 1997, we ae treated mre tan 3,000 patient
wit Gamma Knife radiurger, a mputer-guided
terap tat deier targeted radiatin t a pei
atin in te brain. Ti utpatient predure i near
paine and require n iniin.
Te mt mmn diagni fr Gamma Knife radiur-
ger i brain metatae, wi afit near ne-quarter
f aner patient. oter nditin tat an be treated
wit Gamma Knife teng are primar and benign
brain tumr, trigemina neuragia and arterienu
mafrmatin.
Gamma Knife treatment i a we-etabied and
wide regnized ptin in ue arund te wrd, and
i appred fr ue in te United state b te Fd
and Drug Adminitratin. Wrdwide, mre tan 30,000
patient underg Gamma Knife treatment ea ear.
Advantages of Gamma Knife Treatment
Fr apprpriate patient, te Gamma Knife ffer man
adantage er nentina neururger, inuding:
minimally invasive procedure with no incision
an option for some tumors located deep in the brain
that cannot be reached safely by traditional brain
surgery
an outpatient procedure that rarely requires an overnight
hospital stay
safe, effective treatment with a low complication rate
lower risk than conventional brain surgery
little or no post-treatment discomfort or pain
rapid return to normal activities, without the need for
physical therapy or other rehabilitation
covered by most insurance companies and Medicare
Te ceeand cini Gamma Knife center i a tate-f-te-art radiurger treatment enter tat mbine
innatie teng wit media expertie t ffer patient diagned wit a brain dirder a e inaie
aternatie t nentina brain urger .
ceeand ciniGamma Knife center
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clEvElAND clINIc RosE EllA BURKhARDT BRAIN TUMoR AND NEURo-oNcoloGy cENTER GAMMA KNIFE | PATIENT TREATMENT GUIDE 5
Adaned GammaKnife Treatment
Cleveland Clinic is one of only a few medical
centers in the United States to offer the
most technologically advanced Gamma
Knife model available: Elektas L eksell
Gamma Knife Perfexion. This upgraded
model allows for treatment of a wider range
of lesions, increased patient comfort and
reduced treatment time.
Gamma Knife Perfexion concentrates 192
high-energy radiation beams at the target
area in the brain. The dose of radiation along
any one of the beams is too small to cause
harm but, at the point where the beams
converge, the radiation dose is intense, dam-
aging or destroying the tumor or abnormality
or causing changes that interrupt abnormal
brain circuits in disorders such as trigeminal
neuralgia. Because the beams are precisely
pinpointed on the target, radiation exposure
to surrounding brain tissue is minimal.
A fami member r friend wi need t ampan u
n te da f ur Gamma Knife predure and drie u
me after te treatment. A Gamma Knife center nure
wi a u te da befre ur predure t nrm
arria time and anwer an remaining quetin.
yu ud nt eat r drink after midnigt te eening
befre ur predure. We remmend tat u wa ur
ap/air te nigt befre ur Gamma Knife radiur-
ger and wear ur air e. D nt ue an ip, pin,
band, air pra r ting prdut. Aid te ue f
meti, t.
Te da f te predure, wear ip-n e; mfrtabe
pant, ak r rt; and a buttn-up r zip-frnt irt
wit e-tting r rt eee. sirt tat t er ur
ead are nt remmended beaue u wi ae a frame
paed n ur ead, wi wi make it difut fr u t
ange ting during ur predure.
Wen u arrie at te ceeand cini Gamma Knife
center, a peia trained nure wi prepare u fr te
predure. An Iv wi be inerted t adminiter media-
tin tat wi ep u reax during te predure. yu wi
ange int a pita gwn, reeie a a aneteti
and be tted wit a ead frame weiging abut tw
pund, wi wi remain n trugut te predure.
yu wi fee me preure but itte pain during ti tting
pre. Te purpe f te ead frame i t aw te
target in te brain t be preie pinpinted and imaged.
Wat t Expet befreyurTreatment sein
Wat t Expet during yurTreatment sein
During ti time, u an remain in ur waiting area wit
fami r friend. Ampe eating and teeiin ae
pride a mfrtabe enirnment.
one te treatment pan a been mpeted, u wi
be aked t ie dwn and te ead frame wi be eured
t te rbti Gamma Knife bed, wi ide int te
Gamma Knife Perfexin maine. Radiatin i ten dei-
ered diret t te target area trug pening inide te
maine. Fr added mfrt, u an bring a mpat di
r iten t te radi during ur predure. Te treatment
pae an range in eng t frm 15 minute t tree ur.
Wen ur treatment i mpete, ur ead frame and Iv
wi be remed and ur taff wi reiew diarge intru-
tin wit u and ur mpanin. yu wi be aked t
remain at te ceeand cini Gamma Knife center fr
beratin fr ne t tw ur. It i remmended tat
mene ta wit u te rt nigt after treatment t
mnitr u fr an ide effet frm te predure.
Eiter prir t r jut after u are tted wit ur ead
frame, a magneti renane imaging (MRI) and/r m-
puterized tmgrap (cT) an wi be perfrmed. Tee
an wi pride ur piian wit te mt up-t-date
mapping f ur brain tat /e an pinpint te exat
atin f te target area.
Next, a mputerized mapping f ur treatment i
panned ut b ur neururgen and radiatin n-
git, wi an require up t a few ur t mpete.
Cleveland Clinic is one of only a few medical centers to offer the
most technologically advanced Gamma Knife model available.
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clEvElAND clINIc RosE EllA BURKhARDT BRAIN TUMoR AND NEURo-oNcoloGy cENTER GAMMA KNIFE | PATIENT TREATMENT GUIDE 7
Ptentiaside Effet
A wit an urger, tere are rik and ptentia ide
effet wit Gamma Knife radiurger.
Tee ide effet ud inude:
minima dimfrt, eadae r pain te da after
radiurger. Nn-apirin pain mediatin, u a
ibuprfen r aetaminpen, i remmended if
u ae ti ee f dimfrt.
infetin at te ead frame pin ite. It i rem-
mended tat u keep tee area trug ean
fwing ur predure.
brain weing, fr wi tere i a igt rik after
te predure.
If u experiene nauea, miting, eere ead-
ae, iua ange, difut peaking, eizure r
an ter mptm unuua fr u, peae ntat
ur piian immediate r g t te nearet
emergen rm.
Re Ea Burkardt Brain Tumr and Neur-ong center
Part f ceeand cini mutidiipinar Neurgia Intitute, te Burkardt Brain Tumr center i a natina
regnized eader in te diagni and treatment f primar and metatati tumr f te brain, nere and pine and
teir effet n te neru tem. Te enter abrate wit te Tauig caner Intitute t pride innatie
utin fr tee mpex prbem, utiizing te atet teng, inuding intraperatie MRI, teretati radi-
urger, netin-enaned deier and aer intertitia terma terap.
Wat t Expet afteryurTreatment sein
Fr mt nditin, reut f Gamma Knife treatment
deep er time, ranging frm a few week t tw ear,
beaue te Gamma Knife rink tumr and affet e
gradua. Patient are ften mnitred wit MRI and/r cT
an unti te fu treatment effet i bered.
Te Gamma Knife a pred t be a er effetie mean
f ntring me tumr and ter brain dirder.
Depending n te nditin, ue rate an be a
ig a 70 perent t 90 perent; weer, tere i n
guarantee f indiidua reut. outme depend n te
ize, atin and tpe f ein, a we a ur perna
media itr. yu ud diu ur expetatin wit
ur piian befre treatment.
Media cniergeserie
Ti peia erie i fr ur ut-f-tate patient.
Jut ike te nierge at a ne te, ceeand cini Media
cnierge wi ep faiitate and rdinate ur ceeand cini expe-
riene and ur iit t ceeand, oi. yur Media cnierge wi
pride te fwing mpimentar erie:
aitane rdinating mutipe appintment
eduing r nrmatin f airine reeratin, in peratin wit
ceeand cini Trae serie
aitane wit te and uing reeratin, priding diunt
wen aaiabe
arrangement f taxi r ar erie between te airprt and te
infrmatin n eiure atiitie fr fami member
A Media cnierge wi meet and ampan u t ur appint-
ment, upn requet. If ur iit inude a pita ta, ur Media
cnierge an arrange fr priate nuring, if deired.
Fr mre infrmatin n ceeand cini Media cnierge erie,
a 800.223.2273, ext. 55580; emai [email protected]; r
iit clevelandclinic.org/concierge.
sti hae Quetin?
If u ti ae quetin abut te ceeand cini Gamma Knife center r ter brain tumr treatment ptin,
peae iit clevelandclinic.org/braintumor.
If u wud ike t et up a
nutatin wit a Burkardt
Brain Tumr center peiait,
peae a 866.588.2264r iit
clevelandclinic.org/myappointment.
Make an
AppintmentNw
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Access to Cleveland Clinics Expertise at the Click of a Mouse
Patients are always welcome to travel to Cleveland, Ohio to
reach our world renowned Cleveland Clinic physician specialists
for a second opinion; however, we recognize the challenges sur-
rounding arrangement of travel, time off of work and time away
from family which is why we offer an easier, just as effective
way, of getting a medical second opinion from our experts.
Cleveland Clinics MyConsultOnline Medical Second Opinion
offers expert opinions for over 1,000 life-threatening and life-
changing diagnoses. MyConsultconnects patients with the
diagnostic expertise of world renowned physician specialists
who will review the patients individual situation, answer theirquestions and provide a comprehensive report that they can
share and discuss with their family and physician. Based on
the medical second opinion patients receive from Cleveland
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treatment, or if they would like, stay in their hometown and
receive treatment locally.
There are few decisions in life as important as those that
impact your health. With Cleveland Clinics MyConsultOnline
Medical Second Opinion program, patients can be confdent
that they will have the information needed to make the bestdecision for themselves, and those who love them, without
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To learn more or to register to use MyConsult, log onto
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Ti Gamma Knife Patient Guide i fr media eduatin purpe n. It ud nt repae independent
adie r infrmatin frm a piian abut te apprpriatene r rik f ti predure fr a gien patient.
Te mutidiipinar Neurgia Intitute, ne f 26 intitute at ceeand cini, i internatina knwn
fr uperir diagni and treatment f neurgia dirder ranging frm te mmn t te mt mpex.
Mre tan 300 peiait mbine inia expertie, aademi aieement and innatie reear t
aeerate tranfer f inetigatina terapie unaaiabe eewere, fr te benet f adut and pediatri
patient. Te intitute i mmitted t impring utme wie treating patient wit mpain and repet.
ceeand cini i a nnprt mutipeiat aademi media enter, nitent ranked amng te tp
pita in Ameria b U.S.News & World Report. Funded in 1921, it i dediated t priding quait
peiaized are tat integrate reear and eduatin.
The Cleveland Clinic Foundation
9500 Euclid Avenue/AC311
Cleveland, OH 44195