Table 3.
Analysis of non-endocrine morbidity of stereotactic radiosurgery (SRS)
Deficit | Complication rate for SRS@ (n = 104) % of patients sustaining specific complication (no. of events) | Median onset | Complication rate for MRI-guided SRS ± RT (n = 91) (October 1993–2015) | Complications for single MRI-guided SRS; no previous RT (n = 68) (October 1993–2015) | Factors associated with increased risk |
---|---|---|---|---|---|
Loss of visual acuity | 5.8% (6)## | 12 months (6–106) | 2.2% (2) | 0% | > 1 radiation treatment (p = 0.04) |
Ophthalmoplegia | 6.7% (7)## | 24 months (2–78) | 7.7% (7) | 2.9% (2) | > 1 radiation treatment (p = 0.03) |
Trigeminal Neuralgia | 1% (1) | 4 days | 1.1% (1) | 0 | N/A |
Stroke/TIA | 2.9% (3) | 83.5 months (47–105) | 3.3% (3) | 2.9% (2) | Similar incidence to that expected for age-sex matched population |
Need for further intervention—Surgery | 5.8% (6) | 18 (8–68) | 3.3% (3) | 2.9% (2) | |
Need for further intervention—Radiation | 2.9% (3) | 78 (59–131) | N/A | N/A |
##Of those receiving a single MRI-guided SRS treatment and no fractionated radiotherapy there were no cases of visual loss and there were 2 cases of ophthalmoplegia
@Incidence of any non-endocrine complication per patient year was 0.002 (26/13,937)