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The Gamma knife is a dedicated neurosurgical tool for performing brain surgery with as little damage to the brain and with as much function preservation as possible. It uses highly focused beams of 201 independent Cobalt 60 sources to produce its biological effects on tissues inside the intact skull. The treatment is done in a single sitting and thus has the benefits of increased biological efficacy of the radiation along with decreased hospital stay and side effects. This approach also allows the treatment of lesions that are not considered radiosensitive.
The University of Virginia Gamma Knife was commissioned in March 1989 and has treated more than 2000 patients to date under the direction of Ladislau Steiner MD, PhD, Alumni Professor of Neurosurgery and Radiosurgery. As a close associate of Professor Lars Leksell at the Karolinska Institute, Sweden, he was involved from the begining in the developement of the Gamma Knife and its clinical application. The late Professor Lars Leksell, one of the most innovative neurosurgeons of our time, as early as 1951 conceived the idea of using a single focused high dose of ionizing beams , and coined the term radiosurgery . Following extensive experimental and clinical research the first Gamma Knife was built in 1967.
Neurosurgeons at the Gamma Knife Center at the University of Virginia in mastering both microsurgery and radiosurgery can provide advice and management for the whole range of brain disorders without bias in decision making. Specialists in neuro-radiology, endocrinology, anaesthesiology, neuro-ophthalmology, neuro-otology, radiation oncology and medical physics in the team provide comprehensive care to the patient. The center is continuously involved in development and research activity in the field.
Dheerendra Prasad MD
Assistant Professor of Neurosurgery
John A. Jane MD PhD
David. D. Weaver Professor of Neurosurgery
Neal F. Kassell MD
Professor of Neurosurgery.
Edward Laws MD, FACS
Professor of Neurosurgery and Internal Medicine.
Melita Steiner MD
Research Professor in Neurosurgery
Péter Várady MD
Lars Leksell Fellow
Jayant Misra MD
Research Fellow in Radiosurgery
György Szeifert MD PhD
Research Fellow in Radiosurgery
Wayne S Cail MD
Professor of Neuroradiology,
Maurice Lipper MD
Associate Professor of Neuroradiology
C. Douglas Phillips MD
Associate Professor of Neuroradiology
Jacques E. Dion MD FRCP(C)
Head, Interventional Radiology
Associate Professor of Radiology and Neurosurgery
Mary E. Jensen MD
Assistant Professor of Interventional Radiology and Neurosurgery
Michael
O. Thorner MB, DSc, FRCP
Professor of Internal Medicine
Head, Division of Endocrinology and Metabolism
Mary Lee Vance MD
Professor of Internal Medicine
Division of Endocrinology and Metabolism
Alan D Rogol MD
Professor of Paediatrics & Pharmacology (Paediatric Endocrinology)
Edward H. Bertram, III , MD
Associate Professor of Neurology
Brian P Conway MD
Professor of Ophthalmology
Steven A Newman MD
Associate Professor of Ophthalmology & Neurological Surgery
Paul R Lambert MD
Professor of Otolarnygology (Neuro-otology)
David Stone MD
Associate Professor of Anaesthesiology and Neurosurgery
David Bogdanoff MD
Associate Professor of Anaesthesiology
Burkhardt Spiekermann MD
Assistant Professor of Anaesthesiology
William C. Constable MD
Professor of Radiation Oncology and Otolaryngology
Scott R. VandenBerg MD,PhD
Professor of Neuro-pathology and Neurological Surgery
Harold W. Berk PhD
Division of Medical Physics
Associate Professor of Radiology and Neurosurgery
Savola 'Butter' Monroe RN BSN CNOR
Clinical Manager Neurosurgery Operating Rooms
Clare Pittman RN MS
Nurse Coordinator
Marion Harding RTT
Gamma Knife Technologist
Sophie L. Yu
Administrator, Gamma Knife Center
Program Support:
Brenda Hogan
Gladys Haney
Mary Burton
Clinical / Patient related queries:
Ladislau Steiner MDPhD E-mail:
ls9e@Virginia.edu
Dheerendra Prasad MD E-mail:dprasad@Virginia.edu
Melita Steiner MD E-mail:ms4p@Virginia.edu
Room G 512, Primary Care Center
University of Virginia, Health Sciences Center
Lee Street , Charlottesville, VA 22908
TELEPHONE: (804) - 982 - 0091/ 94/ 95/ 96/ 62
FAX: (804) - 982 - 0543
Administrative queries:
Sophie L Yu E-mail: sly9p@Virginia.edu
TELEPHONE: (804) - 924 -2336
FAX: (804) - 977- 6279
| PATIENT MATERIAL | ||
Diagnostic
|
Indication |
Number |
|---|---|---|
Vascular Malformations |
Arteriovenous Malformations (AVM) | 1140 |
| Dural Malformations | 63 | |
| Other Vascular Malformations | 17 | |
Benign Tumors |
Meningioma | 269 |
| Vestibular Schwannoma (Accoustic neuroma) | 146 | |
| Pituitary adenomas | 155 | |
| Craniopharyngiomas | 28 | |
| Low GradeAstrocytoma | 49 | |
Malignant Tumors |
Malignant astrocytomas | 44 |
| Metastatic tumors | 165 | |
| Uveal Melanoma | 3 | |
Functional Disorders |
Trigeminal Neuralgia | 9 |
Others |
98 | |
TOTALas of 9/10/97 |
2186 |
|
*Dr. Steiner has a personal experience of more than 3200 cases.
*Based on our prior experience with Cavernous malformations (cavernomas) we currently do not recommend the use of the Gamma Knife in their treatment, and feel that there should be a moratorium on the issue of radiosurgery in cavernomas till the cause of the higher risk for radiation related side effects in these cases has been elucidated.
Arteriovenous Malformations (AVM)
NLPOST@aol.com wrote:
Hi Donna,
We went to our Radiation Dr. today and he didn't act like he knew about
Stereotactic Radiosurgery being done on anything but the brain. He took the
print outs I got off the Internet and said he would call Dr Gil Lederman to
see if Don would be able to have that type of treatment. I still haven't had
an answer from two phone message's and one e-mail letter to him. He was also
going to see where else in the states that they do this kind of treatment.
You let me find out anything and I'll let you know if I ever find out
anything.
Love and prayers to you and yours,
Nanc
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