Dose Sparing of Brainstem and Spinal Cord for Re-Irradiating Recurrent Head and Neck Cancer with Intensity-Modulated Radiotherapy

2011 ◽  
Vol 36 (1) ◽  
pp. 21-27 ◽  
Author(s):  
Chin-Cheng Chen ◽  
Chen-Chiao Lee ◽  
Dennis Mah ◽  
Rajiv Sharma ◽  
Evan Landau ◽  
...  
2002 ◽  
Vol 27 (2) ◽  
pp. 171-176 ◽  
Author(s):  
Yi-jen Chen ◽  
Jeffrey V Kuo ◽  
Nilam S Ramsinghani ◽  
Muthana S.A.L Al-Ghazi

Head & Neck ◽  
2011 ◽  
Vol 33 (12) ◽  
pp. 1695-1702 ◽  
Author(s):  
Felix Zwicker ◽  
Falk Roeder ◽  
Henrik Hauswald ◽  
Christian Thieke ◽  
Carmen Timke ◽  
...  

2010 ◽  
Vol 2010 ◽  
pp. 1-4 ◽  
Author(s):  
Dong C. Lim ◽  
Patrick J. Gagnon ◽  
Sophia Meranvil ◽  
Darryl Kaurin ◽  
Linda Lipp ◽  
...  

Background. Lhermitte's sign (LS) is a benign form of myelopathy with neck flexion producing an unpleasant electric-shock sensation radiating down the extremities. Although rare, it can occur after head and neck radiotherapy.Results. We report a case of Lhermitte's developing after curative intensity-modulated radiotherapy (IMRT) for a patient with locoregionally advanced oropharyngeal cancer. IMRT delivers a conformal dose of radiation in head and neck cancer resulting in a gradient of radiation dose throughout the spinal cord. Using IMRT, more dose is delivered to the anterior spinal cord than the posterior cord.Conclusions. Lhermitte's sign can develop after IMRT for head and neck cancer. We propose an anterior spinal cord structure, the spinothalamic tract to be the target of IMRT-caused LS.


2016 ◽  
Vol 46 (10) ◽  
pp. 919-927 ◽  
Author(s):  
Mitsutoshi Ooishi ◽  
Atsushi Motegi ◽  
Mitsuhiko Kawashima ◽  
Satoko Arahira ◽  
Sadamoto Zenda ◽  
...  

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