title: Polymodal therapy for high grade gliomas: a case report of favourable outcomes following intraoperative radiation therapy.
abstract: High grade gliomas, frequently with their infiltrative nature, often make the outcome from neurosurgical intervention alone unsatisfactory. It is recognized that adjuvant radiochemotherapy approaches offer an improved prognosis. For these reasons, we opted for surgical debulking, intraoperative radiation therapy (IORT) in combination with whole brain irradiation therapy and chemotherapy (temozolamide cycles) in the management of a 42 year-old lady with Glioblastoma Multiforme (GBM). Her troublesome symptoms improved after 3 months of this polymodal therapy and remained independently functional for more than two years.
authors.affiliation: Department of Neurosciences, School of Medical Sciences, Universiti Sains Malaysia, 16150, Kubang Kerian, Kelantan, Malaysia. zamzuri@kb.usm.my
authors.forename: I
authors.initials: I
authors.lastname: Zamzuri
authors.forename: G I
authors.initials: GI
authors.lastname: Rahman
authors.forename: M
authors.initials: M
authors.lastname: Muzaimi
authors.forename: A M
authors.initials: AM
authors.lastname: Jafri
authors.forename: N I
authors.initials: NI
authors.lastname: Nik Ruzman
authors.forename: Y A
authors.initials: YA
authors.lastname: Lutfi
authors.forename: B M
authors.initials: BM
authors.lastname: Biswal
authors.forename: H W
authors.initials: HW
authors.lastname: Nazaruddin
authors.forename: W
authors.initials: W
authors.lastname: Mar
mesh_terms: D000328:Adult; D001932:Brain Neoplasms / Q000628:therapy*; D003131:Combined Modality Therapy; D005260:Female; D005910:Glioma / Q000628:therapy*; D006801:Humans; D016634:Radiosurgery; D016896:Treatment Outcome