Intraoperative radiation therapy as an adjunctive therapy for huge and highly vascular parasagittal meningiomas

Tai Hyoung Cho, Yong Gu Chung, Chul Yong Kim, Han Kyeom Kim, Nam-Joon Lee, Jeong Wha Chu, Myung Sun Choi

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3 Citations (Scopus)


This case presents a 34-year-old man who had a huge parasagittal meningioma. Initial treatment consisted of preoperative external carotid artery embolization and partial tumor resection. During the resection, we found that the tumor invaded the adjacent calvarium, and due to massive hemorrhage, total removal of the tumor was impossible. The patient was treated with intraoperative radiation therapy (IORT) (25 Gy via 16 MeV) as an adjunctive therapy. Eight months after IORT, we were able to remove the tumor completely without surgical difficulties. IORT can be considered an useful adjunctive therapy for the superficially located, huge, and highly vascular meningioma.

Original languageEnglish
Pages (from-to)718-723
Number of pages6
JournalJournal of Korean Medical Science
Issue number6
Publication statusPublished - 2000 Dec 1



  • Meningioma
  • Radiotherapy, Computer-Assisted
  • Vascular Neoplasms

ASJC Scopus subject areas

  • Medicine(all)

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