title: A Simplified Supine Technique Expedites the Delivery of Effective Craniospinal Radiation to Medulloblastoma - Comparison with Other Techniques in the Literature.
abstract: A 28-year-old man presented to the emergency room with a severe headache of one day's duration. A computerized tomography scan showed a hemorrhagic tumor measuring 3.9 x 4.4 cm in the left cerebellar hemisphere. The resection specimen revealed medulloblastoma. He had two episodes of rebleeding and multiple postoperative issues preventing the use of prone craniospinal radiotherapy. We designed a supine technique for this tall man, which was not complicated to set up. The rapid safe implementation of this technique allowed us to avoid further rebleeding and successfully treat the residual tumor. This technique is the described technique in this case report and is compared to other techniques. At 7.5 years after surgery, he is alive without cancer and with only a mild residual deficit. This case is unusual since the majority of patients with the diagnosis of hemorrhagic medulloblastoma died.
authors.affiliation: Department of Radiation Oncology, Allan Blair Cancer Center, University of Saskatchewan.
authors.forename: Patricia
authors.initials: P
authors.lastname: Tai
authors.affiliation: Radiation Oncology, CancerCare Manitoba, University of Manitoba.
authors.forename: Rashmi
authors.initials: R
authors.lastname: Koul
authors.affiliation: Department of Radiation Oncology, Maisonneuve-Rosemont Hospital.
authors.forename: Khanh
authors.initials: K
authors.lastname: Vu
authors.affiliation: Department of Radiation Oncology, Allan Blair Cancer Center, University of Saskatchewan.
authors.forename: Trent
authors.initials: T
authors.lastname: Edwards
authors.affiliation: Department of Neurosurgery, Regina General Hospital.
authors.forename: Joseph
authors.initials: J
authors.lastname: Buwembo
authors.affiliation: Department of Neurosurgery / Laboratory of Clinical Studies and Basic Models of Spinal Disorders, Universidade de Caxias do Sul.
authors.forename: Alisson R
authors.initials: AR
authors.lastname: Teles
authors.affiliation: Department of Medical Oncology, Allan Blair Cancer Center, University of Saskatchewan.
authors.forename: Muhammad
authors.initials: M
authors.lastname: Salim
keywords: medulloblastoma; posterior fossa syndrome; radiotherapy; therapy
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