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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

    Clinic, they can decide to travel to Cleveland Clinic for their

    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

    the time and expense of travel.

    To learn more or to register to use MyConsult, log onto

    www.eclevelandclinic.org/myconsult

    http://eclevelandclinic.org/myConsultHome?utm_campaign=cc+downloads&utm_medium=link&utm_source=clevelandclinic&utm_content=brain+tumor+gamma+knifehttp://eclevelandclinic.org/myConsultHome?utm_campaign=cc+downloads&utm_medium=link&utm_source=clevelandclinic&utm_content=brain+tumor+gamma+knife
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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