title: Stereotactic radiosurgery of the foramen magnum region and upper neck lesions: technique modification.
abstract: A modification of the stereotactic radiosurgical procedure to permit treatment of lesions in the foramen magnum and upper cervical regions is described. The modification consists of placing the frontal pins of the stereotactic head ring in the zigoma bone, with no changes in the position of the occipital pins, so the final BRW head ring is oblique to the orbito-meatal plane. In this new position there is room enough in the posterior part of the guide for the support scrubs. This is unhampered by the patient's shoulders and the lesion is far enough to permit setting the axial coordinate sufficiently above the head ring plane.
authors.affiliation: Department of Neurosurgery, Hospital San Francisco de Asís, Madrid, Spain.
authors.forename: J M
authors.initials: JM
authors.lastname: Samblas
authors.forename: J C
authors.initials: JC
authors.lastname: Bustos
authors.forename: J A
authors.initials: JA
authors.lastname: Gutiérrez-Díaz
authors.forename: G
authors.initials: G
authors.lastname: Donckaster
authors.forename: M
authors.initials: M
authors.lastname: Santos
authors.forename: D I
authors.initials: DI
authors.lastname: Ortiz de Urbina
mesh_terms: D005539:Foramen Magnum / Q000601:surgery*; D006258:Head and Neck Neoplasms / Q000601:surgery*; D006801:Humans; D010315:Particle Accelerators; D016634:Radiosurgery / Q000379:methods*