Table 5 Literature review: Radiosurgical results of brainstem CCMs ( >40 cases, follow-up duration > 36 m).

From: Gamma Knife radiosurgery for cerebral cavernous malformation

Study, year

Case no.

Margin dose

Annual hemorrhage rate (%)

Morbidity (%, radiosurgery-related, ARE)

Mortality (%)

Pre-GKS

Post-GKS

FU (m)

Kida et al., 2009

63

13.4

9.5 (<1 yr) → 4.7 (1–2 yr)

55

3.2%

Monaco et al., 2010

68

15.8

32.4

8.2 (<2 yr) → 1.4 (>2 yr)

62

11.8%

0%

Nagy et al., 2010

79

12.0

30.0

HR:15(<2 yr) → 2.4 (>2 yr)

LR: 5.1(<2 yr) → 1.3 (>2 yr)

48

7.3%

0%

Lee et al., 2012

49

11.0

31.3

4.3 (<2 yr) → 3.6 (>2 yr)

41

4.1%

0%

Lee et al., 2014

49

12.0

38.4

8.3 (<2 yr) → 1.8 (>2 yr)

64

0%

0%

Liu et al., 2016

43

11.9

25.0

3.9 (<2 yr) → 1.9 (>2 yr)

36

2.3%

0%

Lopez et al., 2017

95

11.9

3.06

1.4 (<3 yr) → 0.2 (>3 yr)

78

7.4%

0%

Kefeli et al., 2018

81

12.0

8.6

0.87

50

4.0%

0%

Park et al., 2018

45

13.0

40.1

3.3 (<2 yr) → 1.48 (<5 y)

112

2.2%

0%

Present study

111

12.0

31.3

3.8 (<2 yr) → 3.1 (>2 yr)

57

5.0%

0%

  1. Abbreviation: ARE: adverse radiation effects, CM: cavernous malformations, GKS: gamma-knife radiosurgery, Gy: gray, m: month, HR: high risk group, LR: low risk group, N/A: not available, yr: year