Case Study
Case Study  1 : Cerebellopontine Angle Haemangioblastoma Successfully Treated
with CyberKnife
®  >>
Case Study  2 : CyberKnife®  for Hypothalamic Hamartoma  >>
Case Study  3 :
Breast Carcinoma with Lung Metastasis
Case Study  4 :
Rectal Carcinoma with Lung Metastasis
Case Study  5 :
Breast Carcinoma with Spine Metastasis
Case Study  6 : CyberKnife® for Inoperable Cholangiocarcinoma  >>
Case Study  7 :
Breast Carcinoma with Solitary Liver Metastasis
Case Study  8 :
Lung Cancer Treated
with CyberKnife
®  >>
Case Study 9 :
Cyberknife in Prostate cancer
Case Study 2 : CyberKnife®  for Hypothalamic Hamartoma
Case History

A 17-year-old male presented to Apollo Speciality Cancer Hospital with complaints of intractable headache, vomiting and intermittent episodes of 'gelastic (laughing)' seizures for the past 2 months. MRI of the brain showed a large mass in the hypothalamic region with moderate hydrocephalus. Hydrocephalus was managed with a VP shunt. Biopsy was consistent with a neuronal hamartoma.


Generally, patients having solitary (single) or 'oligo metastasis' (3 metastasis) with otherwise good general health and controlled primary disease are treated with curative intent. Surgery (metastectomy) is the preferred treatment. However, surgery may not be possible in a large number of patients because of their medical condition or age. Therefore, these patients can be treated with radiosurgery using CyberKnife®.

The patient underwent CyberKnife® radiosurgery, with 27.5Gy in five fractions delivered in 1 week.

Follow-up MRI performed after 8 months showed stable disease with reduction in vascularity of the tumour. The patient is currently on regular follow-up. No neurological complications nor convulsions have been reported or observed during these 8 months.

Doctor's Comment

'CyberKnife® was really helpful for the management of this patient, owing to his old age and disease condition'. Dr. P. Mahadev

Patient's Comment

'I am happy with this treatment. It is painless and more comfortable, as compared to the radiation treatment I had earlier'.
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