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Neurology India
Medknow Publications on behalf of the Neurological Society of India
ISSN: 0028-3886
EISSN: 0028-3886
Vol. 57, No. 2, 2009, pp. 185-187
Bioline Code: ni09052
Full paper language: English
Document type: Case Report
Document available free of charge

Neurology India, Vol. 57, No. 2, 2009, pp. 185-187

 en Usefulness of gamma knife pituitary surgery to control thalamic pain after treatment of thalamic malignant lymphoma and report of pathology of gamma knife lesions
Utsuki, Satoshi; Oka, Hidehiro; Miyajima, Yoshiteru & Fujii, Kiyotaka


Here, we describe the first reported autopsy findings following gamma knife surgery for thalamic pain. A 62-year-old man presented with thalamic pain after treatment for thalamic malignant lymphoma. He was treated with narcotic drugs, but his pain was uncontrollable. Treatment using gamma knife surgery on the pituitary gland using a maximum dose of 180 Gy, led to the control of his intractable pain with lower doses of drugs. His death was pain-free and was caused by a recurrence of the tumor, six months after gamma knife surgery. An autopsy was performed and necrosis was present in the area of the pituitary gland where it borders the pituitary stalk. Half of the adenohypophysis was not necrotic, and necrosis was not found in the pituitary stalk.

Gamma knife, intractable pain, thalamic pain, pituitary surgery, adenohypophysis

© Copyright 2009 Neurology India.
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